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1154087930
DARREN PATRICK MCCULLOCH
AUSTIN, TX
NPI
1154087930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX 15460)
Enumeration Date
2021-11-16
Last Update Date
2021-11-16
Business Address
DARREN PATRICK MCCULLOCH LCDC
1165 AIRPORT BLVD
AUSTIN, TX 78702-3152
Phone number: 512-902-7595
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Mailing Address
DARREN PATRICK MCCULLOCH LCDC
1430 COLLIER ST
AUSTIN, TX 78704-2911
Phone number: 512-472-4357
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