Individual
BETH MADISON MCCULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2384 SADLER RD, FERNANDINA BEACH, FL 32034-4555
(904) 463-9226
Mailing address
1791 HAMMOCK CT, FERNANDINA BEACH, FL 32034-5608
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH5752
FL
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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