Mccullough, Kecia Lee

Mccullough, Kecia Lee is an individual health care provider with primary practice located at 227 Thorn Ave , Orchard Park NY 14127-2600. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mccullough, Kecia Lee can be contacted via phone (716) 662-2040.

Contact Information

Primary practice address
227 Thorn Ave Orchard Park NY 14127-2600
Phone: (716) 662-2040
Fax: (716) 662-0019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 28786 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 097126 New York

Profile Details

NPI number 1285037606
LBN Legal business name Mccullough, Kecia Lee
Credentials CASAC MASTERS, LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2014
Last updated Feb 29th, 2024 - about 2 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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