Organization
MCCULLOUGH MENTAL HEALTH & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON MCCULLOUGH LGPC, NCC (OWNER)
(410) 710-4018
Entity
Organization
Contact information
Practice address
3904 WABASH AVE APT 2A, BALTIMORE, MD 21215-8358
(443) 563-1287
Mailing address
3904 WABASH AVE APT 2A, BALTIMORE, MD 21215-8358
(443) 563-1287
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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