MR. ROBERT E MCCULLOUGH NPI 1386006922

NPI Information

NPI: 1386006922
Provider Name: MR. ROBERT E MCCULLOUGH
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1905 CONTINENTAL PL
MOUNT VERNON, WA
ZIP 98273
Phone: (360) 755-6400
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MR. Robert E Mccullough is an addiction (substance use disorder) counselor in Mount Vernon, WA. MR. Robert E Mccullough NPI is 1386006922. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1905 CONTINENTAL PL
MOUNT VERNON, WA
ZIP 98273-633
Phone: (360) 755-6400
Fax: (360) 755-6407

The enumeration date for this NPI number is 3/23/2016 and was last updated on 5/24/2019.

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)	00004280	WASHINGTON	Yes

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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