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Mario Mccullum
Addiction (Substance Use Disorder) Counselor in San Diego, California
NPI 1629759154

Mario Mccullum is an Addiction (Substance Use Disorder) Counselor based in San Diego, CA and is specialized in Addiction (Substance Use Disorder). Mario Mccullum practices in San Diego, CA. The NPI Number for Mario Mccullum is 1629759154 and holds a License No. (California).

The current practice location address for Mario Mccullum is 5855 Streamview Dr, San Diego, CA and can be reached out via phone at 619-287-5460.

Location: 5855 Streamview Dr, San Diego, CA, 92105-3910
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629759154
Provider Name
Mario Mccullum
Credential
Provider Entity Type
Individual
Gender
Male
Address
5855 Streamview Dr, San Diego, CA, 92105-3910
Phone Number
619-287-5460
Fax Number
Provider Enumeration Date
07/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5855 Streamview Dr
City
San Diego
State
California
Zip
92105-3910
Phone Number
619-287-5460
Fax Number
person
Provider Business Mailing Address Details
Address
5855 Streamview Dr
City
San Diego
State
California
Zip
92105-3910
Phone Number
619-287-5460
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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