LISA MICHELLE MCCULLOCH

CHESTERFIELD, MO
NPI1649246935
Other NameLISA MICHELLE KENYON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: MO  2001004734)
Enumeration Date2006-02-27
Last Update Date2007-07-08
Business Address
Ms. LISA MICHELLE MCCULLOCH LPC
14377 WOODLAKE DR SUITE 308
CHESTERFIELD, MO 63017
Phone number: 314-576-6493
Mailing Address
Ms. LISA MICHELLE MCCULLOCH LPC
1222 DUNLOE ROAD
BALLWIN, MO 63021
Phone number: 636-207-1391