Organization
HEATHER MCCULLOCH, LMFT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEATHER MCCULLOCH MA (OWNER/ LMFT)
(505) 661-0898
Entity
Organization
Contact information
Practice address
190 CENTRAL PARK SQ, SUITE 216, LOS ALAMOS, NM 87544-4001
(505) 661-8098
(505) 662-0099
Mailing address
190 CENTRAL PARK SQ, SUITE 216, LOS ALAMOS, NM 87544-4001
(505) 661-8098
(505) 662-0099
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
0107741
NM
Other
Enumeration date
01/14/2010
Last updated
01/14/2010
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