Individual
J ANDREW MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
628 W BROADWAY ST STE 300, NORTH LITTLE ROCK, AR 72114
(501) 372-4242
Mailing address
628 W BROADWAY ST STE 300, NORTH LITTLE ROCK, AR 72114-5545
(501) 372-4242
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A1209078
AR
101YM0800X
Mental Health Counselor
Primary
P1409066
AR
Other
Enumeration date
11/30/2012
Last updated
07/30/2018
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