Mccullough, Samantha Arin

Mccullough, Samantha Arin is an individual health care provider with primary practice located at 2051 N State St , Iola KS 66749-1677. 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, Samantha Arin can be contacted via phone (620) 380-6600.

Contact Information

Primary practice address
2051 N State St Iola KS 66749-1677
Phone: (620) 380-6600
Fax: (620) 577-2134
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 00860 Kansas
Behavioral Health & Social Service Providers / Clinical 1041C0700X 06262 Kansas

Profile Details

NPI number 1245915594
LBN Legal business name Mccullough, Samantha Arin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2023
Last updated May 14th, 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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