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Willie Mccullough
Mental Health Counselor in Oak Park, Michigan
NPI 1104292127

Willie Mccullough is a Mental Health Counselor based in Detroit, MI and is specialized in Mental Health. Willie Mccullough practices in Oak Park, MI. The NPI Number for Willie Mccullough is 1104292127 and holds a License No. 6401013637 (Michigan).

The current practice location address for Willie Mccullough is 23751 Coyle St, Oak Park, MI and can be reached out via phone at 248-506-5891.

Location: 23751 Coyle St, Oak Park, MI, 48219-1158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104292127
Provider Name
Willie Mccullough
Credential
Provider Entity Type
Individual
Gender
Female
Address
23751 Coyle St, Oak Park, MI, 48219-1158
Phone Number
248-506-5891
Fax Number
Provider Enumeration Date
08/13/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
23751 Coyle St
City
Oak Park
State
Michigan
Zip
48237-1929
Phone Number
248-506-5891
Fax Number
person
Provider Business Mailing Address Details
Address
23751 Coyle St
City
Oak Park
State
Michigan
Zip
48237-1929
Phone Number
248-506-5891
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
6401013637 (Michigan)
Definition
Definition to come...
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