PATRICK JAMES MCCULLOUGH

PRINEVILLE, OR
NPI1346535119
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  4606)
Enumeration Date2011-06-09
Last Update Date2011-06-09
Business Address
Mr. PATRICK JAMES MCCULLOUGH LCSW
11395 NW MCCOIN RD
PRINEVILLE, OR 97754-8287
Phone number: 541-410-0430
Mailing Address
Mr. PATRICK JAMES MCCULLOUGH LCSW
11395 NW MCCOIN RD
PRINEVILLE, OR 97754-8287
Phone number: 541-410-0430