person
Malissa M Mcculloch, LPC
Mental Health Counselor in Nampa, Idaho
NPI 1225814718

Malissa M Mcculloch is a Mental Health Counselor based in Nampa, ID and is specialized in Mental Health. Malissa M Mcculloch practices in Nampa, ID and has the professional credentials of LPC. The NPI Number for Malissa M Mcculloch is 1225814718 and holds a License No. 9731 (Idaho).

The current practice location address for Malissa M Mcculloch is 220 10Th Ave S, Nampa, ID and can be reached out via phone at 208-468-0850.

Location: 220 10Th Ave S, Nampa, ID, 83651-3832
person
Provider Profile Details
NPI Number
1225814718
Provider Name
Malissa M Mcculloch
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
220 10Th Ave S, Nampa, ID, 83651-3832
Phone Number
208-468-0850
Fax Number
Provider Enumeration Date
08/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
220 10Th Ave S
City
State
Zip
83651-3832
Phone Number
208-468-0850
Fax Number
person
Provider Business Mailing Address Details
Address
220 10Th Ave S
City
State
Zip
83651-3832
Phone Number
208-468-0850
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
9731 (Idaho)
Definition
Definition to come...
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