BRIAN PATRICK MCCULLOUGH LPCC NPI 1417244716

NPI Information

NPI: 1417244716
Provider Name: BRIAN PATRICK MCCULLOUGH, LPCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
1801 NICOLLET AVE
MINNEAPOLIS, MN
ZIP 55403
Phone: (612) 596-9438
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Brian Patrick Mccullough, LPCC is a professional counselor in Minneapolis, MN with 21 years of experience. Brian Patrick Mccullough, LPCC NPI is 1417244716. 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:

1801 NICOLLET AVE
MINNEAPOLIS, MN
ZIP 55403-791
Phone: (612) 596-9438
Fax: (612) 879-3824

The NPI 1417244716 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/7/2011 and was last updated on 4/12/2019.

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	101YP2500X	Counselor	Professional	310	MINNESOTA	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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