MRS. Kathryn Ellen Mccullough, LCSW is an addiction (substance use disorder) counselor in Providence, RI. MRS. Kathryn Ellen Mccullough, LCSW NPI is 1578014098. 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:
825 CHALKSTONE AVE
PROVIDENCE, RI
ZIP 02908-728
Phone: (401) 456-2000
Fax: (401) 456-6744
The NPI 1578014098 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 10/19/2016 and was last updated on 10/19/2016.