KATHRYN ELLEN MCCULLOUGH

PROVIDENCE, RI
NPI1578014098
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: RI  CSW1628)
Enumeration Date2016-10-19
Last Update Date2016-10-19
Business Address
Mrs. KATHRYN ELLEN MCCULLOUGH LCSW
825 CHALKSTONE AVE
PROVIDENCE, RI 02908-4728
Phone number: 401-456-2000
Mailing Address
Mrs. KATHRYN ELLEN MCCULLOUGH LCSW
120 ROTH RD
DAYVILLE, CT 06241-1416
Phone number: 401-456-2000