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Tamika M Mccullough
Counselor in San Bernardino, California
NPI 1902005614

Tamika M Mccullough is a Counselor based in Redlands, CA. Tamika M Mccullough practices in San Bernardino, CA. The NPI Number for Tamika M Mccullough is 1902005614 and holds a License No. (California).

The current practice location address for Tamika M Mccullough is 955 N D St, San Bernardino, CA and can be reached out via phone at 909-885-4645 and via fax at 909-885-8574. You can also correspond with Tamika M Mccullough through the mailing address at PO BOX 7369, REDLANDS, CA - 92375-0369 (mailing address contact number: 909-335-7067).

Location: 955 N D St, San Bernardino, CA, 92375-0369
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902005614
Provider Name
Tamika M Mccullough
Credential
Provider Entity Type
Individual
Gender
Female
Address
955 N D St, San Bernardino, CA, 92375-0369
Phone Number
909-885-4645
Fax Number
909-885-8574
Provider Enumeration Date
07/12/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
5882 01 CA SIMON STAFF NUMBER
institution
Provider Business Practice Location Address Details
Address
955 N D St
City
San Bernardino
State
California
Zip
92410-3519
Phone Number
909-885-4645
Fax Number
909-885-8574
person
Provider Business Mailing Address Details
Address
955 N D St
City
San Bernardino
State
California
Zip
92410-3519
Phone Number
909-885-4645
Fax Number
909-885-8574
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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