Mark Allen Mccullough in Nampa - Clinical
Mark Allen Mccullough - NPI 1932160488
Mark Allen Mccullough is a Clinical in Nampa, Idaho. Mark Allen Mccullough practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Allen Mccullough is 1932160488. The last update date is 2008-07-16.
Mark Allen Mccullough's current location address is Po Box 9, Nampa, Idaho. You can contact this provider via phone number 2084674431 and fax number 2084677684. The mailing address for Mark Allen Mccullough is Po Box 9, Nampa, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark Allen Mccullough |
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Address | Po Box 9, Nampa, Idaho |
Phone Number | 2084674431 |
Fax Number | 2084677684 |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1932160488 |
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Provider Enumeration Date | 2006-03-31 |
Last Updated Date | 2008-07-16 |
Provider Mailing Address Detail
Address | Po Box 9 |
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City | Nampa |
State | Idaho (ID) |
Post Code | 836530009 |
Phone Number | 2084674431 |
Fax Number | 2084677684 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | LCSW696 |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1690636 | ID | CIGNA MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mark Allen Mccullough by the Centers for Medicare & Medicaid Services?
The Mark Allen Mccullough has been issued the NPI (National Provider Identifier) 1932160488 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mark Allen Mccullough's facilities are situated?
The facilities of Mark Allen Mccullough are physically located at the following address: Po Box 9, Nampa, ID, 836530009.
What is Mark Allen Mccullough's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark Allen Mccullough is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
When did the Mark Allen Mccullough receive its 1932160488?
The Mark Allen Mccullough was issued its 1932160488 on 2006-03-31, which is the date when the organization was assigned this unique identifier.
When was the information regarding Mark Allen Mccullough most recently updated?
The details pertaining to the Mark Allen Mccullough, including its address, specialty, and other relevant information, were last refreshed on 2008-07-16.