Mcculloch, Jill

Mcculloch, Jill is an sole proprietor health care provider with primary practice located at 1120 Gordon Ln , Santa Rosa CA 95404-5636. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Nursing Service Related Providers / Day Training/Habilitation Specialist. Nursing Service Related Providers / Day Training/Habilitation Specialist is her primary health care specialty. Mcculloch, Jill can be contacted via phone (707) 527-3249.

Contact Information

Primary practice address
1120 Gordon Ln Santa Rosa CA 95404-5636
Phone: (707) 527-3249
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1992223192
LBN Legal business name Mcculloch, Jill
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2017
Last updated Aug 7th, 2025 - about last year

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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