Mccullough, Dion Marie

Mccullough, Dion Marie is an sole proprietor health care provider with primary practice located at 9329 Telegraph Rd , Redford MI 48239-1260. She recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Agencies / Case Management is her primary health care specialty. Mccullough, Dion Marie can be contacted via phone (313) 937-9500.

Contact Information

Primary practice address
9329 Telegraph Rd Redford MI 48239-1260
Fax: (313) 957-9504
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X 4101006779 Michigan
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 4151000365 Michigan

Profile Details

NPI number 1831669134
LBN Legal business name Mccullough, Dion Marie
Credentials MA, LLMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2018
Last updated Mar 3rd, 2022 - about 4 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 1831669134 NPPES
Michigan MEDICAID 1467937870

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