Mccullough, William

Mccullough, William is an individual health care provider with primary practice located at 315 Patton Dr , Shelby NC 28150-5429. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Mccullough, William can be contacted via phone (704) 476-8078.

Contact Information

Primary practice address
315 Patton Dr Shelby NC 28150-5429
Phone: (704) 476-8078
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C001521 North Carolina
Behavioral Health & Social Service Providers / School 1041S0200X C001521 North Carolina

Profile Details

NPI number 1801109483
LBN Legal business name Mccullough, William
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2010
Last updated Jul 23rd, 2010 - about 16 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 1801109483 NPPES
North Carolina MEDICAID 3690538

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