HENRY KENNETH MCCULLOUGH

DELAND, FL
NPI1427183045
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH 2762)
Enumeration Date2007-02-22
Last Update Date2007-07-08
Business Address
-- HENRY KENNETH MCCULLOUGH counselor
442 E NEW YORK AVE SUITE 10
DELAND, FL 32724-5553
Phone number: 386-738-1085
Mailing Address
-- HENRY KENNETH MCCULLOUGH counselor
442 E NEW YORK AVE SUITE 10
DELAND, FL 32724-5553
Phone number: 386-738-1085
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