Kevin McCullough
Counselor in McKeesport, PA. Individual provider (NPI-1).
NPI number1154595080
StatusActive
Last updated in NPPESApr 22, 2008
Details
- NPI
- 1154595080
- Entity type
- Individual (NPI-1)
- Name
- Kevin McCullough
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2008
- Last updated
- Apr 22, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
332 Fifth AveSuite 214
McKeesport, PA 15132-2633
Phone 412-675-8533 · Fax 412-675-8920
Mailing address
332 Fifth AveSuite 214
McKeesport, PA 15132-2633
Phone 412-675-8533 · Fax 412-675-8920
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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