KENNETH MCCULLOUGH LADC LCPC NPI 1902178080

NPI Information

  • NPI: 1902178080
  • Provider Name: KENNETH MCCULLOUGH, LADC, LCPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 52 WATER ST
    SUITE 2
    HALLOWELL, ME
    ZIP 04347
  • Phone: (207) 430-3777

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NPI Details

Kenneth Mccullough, LADC, LCPC is a mental health counselor in Hallowell, ME. Kenneth Mccullough, LADC, LCPC NPI is 1902178080. 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:

52 WATER ST
SUITE 2
HALLOWELL, ME
ZIP 04347
Phone: (207) 430-3777
Fax: (207) 621-4020

The enumeration date for this NPI number is 2/3/2012 and was last updated on 12/7/2015.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)LC197MAINENo
2101YM0800XCounselorMental HealthCC1102MAINEYes

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: 11/21/2025

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