GARY R MCCULLOUGH

MUKILTEO, WA
NPI1720256555
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP00001723)
Enumeration Date2008-02-14
Last Update Date2014-03-12
Business Address
Mr. GARY R MCCULLOUGH CDP
627 5TH ST SUITE 100A
MUKILTEO, WA 98275-1580
Phone number: 425-290-5757
Mailing Address
Mr. GARY R MCCULLOUGH CDP
627 5TH ST SUITE 100A
MUKILTEO, WA 98275-1580
Phone number: 425-328-9528