Individual
SHANNON MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC, NCC
Contact information
Practice address
3904 WABASH AVE APT 2A, BALTIMORE, MD 21215-8358
(410) 710-4018
Mailing address
3904 WABASH AVE APT 2A, BALTIMORE, MD 21215-8358
(410) 710-4018
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP11293
MD
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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