Individual
JOHN MCCULLAGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3512 QUENTIN RD STE 110, BROOKLYN, NY 11234-4245
(800) 275-3243
Mailing address
145 MORNINGSIDE AVE APT 1D, NEW YORK, NY 10027-4348
(832) 866-8115
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
Primary
023722-01
NY
Other
Enumeration date
09/04/2009
Last updated
07/22/2020
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