Individual
JESSICA MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
403 BELMONT ST, WORCESTER, MA 01604-1019
(508) 425-2555
Mailing address
403 BELMONT ST, WORCESTER, MA 01604-1019
(508) 425-2555
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC02031
TX
171100000X
Acupuncturist
Primary
OM000337
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
845934
NCCAOM
—
01
—
AC02031
TEXAS MEDICAL BOARD
TX
Enumeration date
11/02/2022
Last updated
01/13/2026
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