Individual
MICHAEL MCCULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMFT
Contact information
Practice address
112 S ALFRED ST, ALEXANDRIA, VA 22314-3061
(317) 426-7689
Mailing address
9801 FALL CREEK RD, PMB 105, INDIANAPOLIS, IN 46256-4802
(317) 426-7689
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35002049A
IN
Other
Enumeration date
05/05/2014
Last updated
06/24/2022
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