Cullum, Marilyn J

Cullum, Marilyn J is an individual health care provider with primary practice located at 1742 Falls Blvd. Suite 5 The Logan Center, Wynne AR 72396. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Cullum, Marilyn J can be contacted via phone (870) 208-9333.

Contact Information

Primary practice address
1742 Falls Blvd. Suite 5 The Logan Center Wynne AR 72396
Phone: (870) 208-9333
Fax: (870) 208-9229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X P9807016 Arkansas

Profile Details

NPI number 1730245465
LBN Legal business name Cullum, Marilyn J
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730245465 NPPES
Arkansas Other 5U425 BLUE CROSS BLUE SHIELD

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