Mcculloch, Deanna Marie

Mcculloch, Deanna Marie is an sole proprietor health care provider with primary practice located at 600 Central Ave Ste 302 , Great Falls MT 59401-3141. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Mcculloch, Deanna Marie can be contacted via phone (406) 201-1485.

Contact Information

Primary practice address
600 Central Ave Ste 302 Great Falls MT 59401-3141
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC.0012063 Colorado
Behavioral Health & Social Service Providers / Professional 101YP2500X SWP-LCPC-LIC-11614 Montana

Profile Details

NPI number 1740671197
LBN Legal business name Mcculloch, Deanna Marie
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 6th, 2015
Last updated Mar 26th, 2019 - about 7 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 1740671197 NPPES
Montana Other 0MT0751420 BLUE CROSS-SHIELD OF MONTANA

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