MALISSA M MCCULLOCH

NAMPA, ID
NPI1225814718
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  9731)
Enumeration Date2023-08-31
Last Update Date2023-08-31
Business Address
MALISSA M MCCULLOCH LPC
220 10TH AVE S
NAMPA, ID 83651-3832
Phone number: 208-468-0850
Mailing Address
MALISSA M MCCULLOCH LPC
220 10TH AVE S
NAMPA, ID 83651-3832
Phone number: 208-468-0850