Monique Louise Mcculloch in Antioch - Addiction (substance Use Disorder)

Monique Louise Mcculloch - NPI 1982882668

Monique Louise Mcculloch is a Addiction (substance Use Disorder) in Antioch, California. Monique Louise Mcculloch practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Monique Louise Mcculloch is 1982882668. The last update date is 2014-08-05.

Monique Louise Mcculloch's current location address is 1915 D St, Antioch, California. You can contact this provider via phone number 9257543673 and fax number 9257542002. The mailing address for Monique Louise Mcculloch is 1915 D St, Antioch, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Monique Louise Mcculloch
Address 1915 D St, Antioch, California
Phone Number 9257543673
Fax Number 9257542002
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1982882668
Provider Enumeration Date 2008-02-05
Last Updated Date 2014-08-05

Provider Mailing Address Detail

Address 1915 D St
City Antioch
State California (CA)
Post Code 945092571
Phone Number 9257543673
Fax Number 9257542002

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
726 CA M/CAL PROVIDER NUMBER
7536 CA DMC ADOL TX ANTIOCH
7557 CA DMC ADOL TX BRENTWOOD
753 CA M/CAL PROVIDER NUMBER
7553 CA ADOL TX BRENTWOOD
70753 CA MASTER PROVIDER NUMBER
7555 CA DRUG COURT
7533 CA ADOL TX ANTIOCH

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FAQs about Monique Louise Mcculloch

What is the unique provider identifier assigned to Monique Louise Mcculloch?

The Monique Louise Mcculloch has been issued the NPI (National Provider Identifier) 1982882668 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Monique Louise Mcculloch is physically located?

The Monique Louise Mcculloch is situated at the following address: 1915 D St, Antioch, CA 945092571.

What is Monique Louise Mcculloch's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Monique Louise Mcculloch is Addiction (substance Use Disorder), and the taxonomy code that categorizes this field of expertise is 101Ya0400X.

When did the Monique Louise Mcculloch receive its 1982882668?

The Monique Louise Mcculloch was issued its 1982882668 on 2008-02-05, which is the date when the organization was assigned this unique identifier.

When was the Monique Louise Mcculloch's information last updated?

The Monique Louise Mcculloch's information was last updated on 2014-08-05.

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