KELLY MCCULLOUGH

PASCO, WA
NPI1417333873
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60184864)
Enumeration Date2015-08-07
Last Update Date2018-10-12
Business Address
KELLY MCCULLOUGH
715 W COURT ST
PASCO, WA 99301-4153
Phone number: 509-554-6506
Mailing Address
KELLY MCCULLOUGH
1707 W 34TH AVE
KENNEWICK, WA 99337-3838
Phone number: