TRACEY MCCULLOUGH

CERES, CA
NPI1790132694
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies374700000X Technician
Enumeration Date2016-05-20
Last Update Date2017-10-24
Business Address
TRACEY MCCULLOUGH
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-541-2121
Mailing Address
TRACEY MCCULLOUGH
800 SCENIC DR BLDG 4
MODESTO, CA 95350-6131
Phone number: 209-541-6146
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