Mccullough, Tracey

Mccullough, Tracey is an sole proprietor health care provider with primary practice located at 1904 Richland Ave , Ceres CA 95307-4562. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Technician, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Mccullough, Tracey can be contacted via phone (209) 541-2121.

Contact Information

Primary practice address
1904 Richland Ave Ceres CA 95307-4562
Phone: (209) 541-2121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Technician 374700000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1790132694
LBN Legal business name Mccullough, Tracey
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2016
Last updated Oct 24th, 2017 - about 8 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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