Organization
RADIANT SUN THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MCCULLOCH (THERAPIST/OWNER OPERATOR)
(928) 221-3184
Entity
Organization
Contact information
Practice address
2 S BEAVER ST STE 127, FLAGSTAFF, AZ 86001-5575
(928) 221-3184
Mailing address
2 N HILLSIDE ST, FLAGSTAFF, AZ 86001-3271
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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