MRS. MONIQUE LOUISE MCCULLOCH NPI 1982882668

NPI Information

NPI: 1982882668
Provider Name: MRS. MONIQUE LOUISE MCCULLOCH
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1915 D ST
ANTIOCH, CA
ZIP 94509
Phone: (925) 754-3673
Get Directions

MRS. Monique Louise Mcculloch is an addiction (substance use disorder) counselor in Antioch, CA. MRS. Monique Louise Mcculloch NPI is 1982882668. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1915 D ST
ANTIOCH, CA
ZIP 94509-571
Phone: (925) 754-3673
Fax: (925) 754-2002

The enumeration date for this NPI number is 2/5/2008 and was last updated on 8/5/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	07536	OTHER	CALIFORNIA	DMC ADOL TX ANTIOCH
2	07553	OTHER	CALIFORNIA	ADOL TX BRENTWOOD
3	07533	OTHER	CALIFORNIA	ADOL TX ANTIOCH
4	0726	OTHER	CALIFORNIA	M/CAL PROVIDER NUMBER
5	07555	OTHER	CALIFORNIA	DRUG COURT
6	070753	OTHER	CALIFORNIA	MASTER PROVIDER NUMBER
7	07557	OTHER	CALIFORNIA	DMC ADOL TX BRENTWOOD
8	0753	OTHER	CALIFORNIA	M/CAL PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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