Gary R Mccullough in Mukilteo - Addiction (substance Use Disorder)
Gary R Mccullough - NPI 1720256555
Gary R Mccullough is a Addiction (substance Use Disorder) in Mukilteo, Washington. Gary R Mccullough practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Gary R Mccullough is 1720256555. The last update date is 2014-03-12.
Gary R Mccullough's current location address is 627 5th St, Mukilteo, Washington. You can contact this provider via phone number 4253289528 and fax number 4257869276. The mailing address for Gary R Mccullough is 627 5th St, Mukilteo, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary R Mccullough |
|---|---|
| Address | 627 5th St, Mukilteo, Washington |
| Phone Number | 4253289528 |
| Fax Number | 4257869276 |
| Sole Proprietor | Y |
| Credentials | CDP |
NPI Number Detail
| NPI Number | 1720256555 |
|---|---|
| Provider Enumeration Date | 2008-02-14 |
| Last Updated Date | 2014-03-12 |
Provider Mailing Address Detail
| Address | 627 5th St |
|---|---|
| City | Mukilteo |
| State | Washington (WA) |
| Post Code | 982751580 |
| Phone Number | 4253289528 |
| Fax Number | 4257869276 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | CP00001723 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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What is the unique identification code assigned to Gary R Mccullough by the Centers for Medicare & Medicaid Services?
The Gary R Mccullough has been issued the NPI (National Provider Identifier) 1720256555. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Gary R Mccullough is geographically located?
The Gary R Mccullough is physically situated at the following location: 627 5Th St, Mukilteo, WA, 982751580.
What is Gary R Mccullough's area of expertise and its corresponding taxonomy classification?
The Gary R Mccullough's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720256555 to Gary R Mccullough?
The Centers for Medicare & Medicaid Services originally issued the 1720256555 to Gary R Mccullough on 2008-02-14.
When was the information regarding Gary R Mccullough most recently updated?
The details pertaining to the Gary R Mccullough, including its address, specialty, and other relevant information, were last refreshed on 2014-03-12.
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