JAMUS EDWARD MCCULLOUGH

MERIDIAN, ID
NPI1477031250
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-08-02
Last Update Date2018-08-02
Business Address
Mr. JAMUS EDWARD MCCULLOUGH
1799 N LAKES PL
MERIDIAN, ID 83646-1833
Phone number: 208-509-0543
Mailing Address
Mr. JAMUS EDWARD MCCULLOUGH
1799 N LAKES PL
MERIDIAN, ID 83646-1833
Phone number: 208-509-0543
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