Individual
CLARE MARIE MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
477 EDGEWORTHE DR SE, ADA, MI 49301-7809
(989) 429-2734
Mailing address
477 EDGEWORTHE DR SE, ADA, MI 49301-7809
(989) 429-2734
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011510
MI
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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