Individual
MRS. MARILYN J CULLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1742 FALLS BLVD. SUITE 5, THE LOGAN CENTER, WYNNE, AR 72396
(870) 208-9333
(870) 208-9229
Mailing address
139 COUNTY ROAD 395, WYNNE, AR 72396
(870) 238-5596
(870) 208-9229
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P9807016
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5U425
BLUE CROSS BLUE SHIELD
AR
Enumeration date
12/28/2006
Last updated
07/08/2007
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