Individual
JOSHUA MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LLP
Contact information
Practice address
514 TERRACE LN, YPSILANTI, MI 48198-3044
(734) 395-6729
Mailing address
514 TERRACE LN, YPSILANTI, MI 48198-3044
(734) 395-6729
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6301011807
MI
Other
Enumeration date
01/11/2007
Last updated
08/27/2007
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