person
Mrs. Kathryn Ellen Mccullough, LCSW
Addiction (Substance Use Disorder) Counselor in Providence, Rhode Island
NPI 1578014098

Kathryn Ellen Mccullough is an Addiction (Substance Use Disorder) Counselor based in Dayville, RI and is specialized in Addiction (Substance Use Disorder). Kathryn Ellen Mccullough practices in Providence, RI and has the professional credentials of LCSW. The NPI Number for Kathryn Ellen Mccullough is 1578014098 and holds a License No. CSW1628 (Rhode Island).

The current practice location address for Kathryn Ellen Mccullough is 825 Chalkstone Ave, Providence, RI and can be reached out via phone at 401-456-2000 and via fax at 401-456-6744.

Location: 825 Chalkstone Ave, Providence, RI, 06241-1416
person
Provider Profile Details
NPI Number
1578014098
Provider Name
Kathryn Ellen Mccullough
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
825 Chalkstone Ave, Providence, RI, 06241-1416
Phone Number
401-456-2000
Fax Number
401-456-6744
Provider Enumeration Date
10/19/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
825 Chalkstone Ave
City
State
Zip
02908-4728
Phone Number
401-456-2000
Fax Number
401-456-6744
person
Provider Business Mailing Address Details
Address
825 Chalkstone Ave
City
State
Zip
02908-4728
Phone Number
401-456-2000
Fax Number
401-456-6744
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CSW1628 (Rhode Island)
Definition
Definition to come...
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