Mccullough, Kenneth

Mccullough, Kenneth is an individual health care provider with primary practice located at 52 Water St Suite 2, Hallowell ME 04347. He 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 / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Mccullough, Kenneth can be contacted via phone (207) 430-3777.

Contact Information

Primary practice address
52 Water St Suite 2 Hallowell ME 04347
Phone: (207) 430-3777
Fax: (207) 621-4020
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LC197 Maine
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CC1102 Maine

Profile Details

NPI number 1902178080
LBN Legal business name Mccullough, Kenneth
Credentials LADC, LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2012
Last updated Dec 7th, 2015 - about 11 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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