| NPI | 1265165153 |
|---|---|
| Professional Name | RAFE MCCULLOUGH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA MX61291003) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C5864) |
| 101YM0800X Counselor, Mental Health (Licence: GA LPC009458) | |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2022-07-07 |