Individual
MAURISSA NICOLE MCCULLOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
108 WOODLAND CREEK WAY, TRAVELERS REST, SC 29690-8490
(864) 640-6825
Mailing address
108 WOODLAND CREEK WAY, TRAVELERS REST, SC 29690-8490
(864) 640-6825
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10294
SC
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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