Individual
DOUGLAS RONALD MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
111 N COUNTY FARM RD, WHEATON, IL 60187-3988
(630) 682-7400
Mailing address
111 N COUNTY FARM RD, WHEATON, IL 60187-3988
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.013442
IL
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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