Individual
MS. CAROL DENISE MCCULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERT ADDICTIONS SPEC
Contact information
Practice address
441 N MAIN ST, ALTURAS, CA 96101
(530) 233-6319
(530) 233-5311
Mailing address
PO BOX 1374, ALTURAS, CA 96101
(530) 233-4209
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
03026319
CA
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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