Individual
KELLYN MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHP., LMFT
Contact information
Practice address
640 NW GILMAN BLVD STE 101, ISSAQUAH, WA 98027-2476
(650) 866-5139
Mailing address
640 NW GILMAN BLVD STE 101, ISSAQUAH, WA 98027-2476
(650) 866-5139
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF60705572
WA
Other
Enumeration date
12/07/2016
Last updated
09/22/2025
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