Individual
ANGELA MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
307 S MCKENZIE ST STE 118, FOLEY, AL 36535-1947
(251) 200-2244
Mailing address
PO BOX 1945, ROBERTSDALE, AL 36567-1945
(251) 200-2244
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C2997A
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2997A
LICENSE
AL
Enumeration date
08/16/2019
Last updated
08/16/2019
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