Mccullough, Amanda Jane

Mccullough, Amanda Jane is an sole proprietor health care provider with primary practice located at 807 Nw 975Th Rd , Centerview MO 64019-9134. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Mccullough, Amanda Jane can be contacted via phone (801) 390-4227.

Contact Information

Primary practice address
807 Nw 975Th Rd Centerview MO 64019-9134
Phone: (801) 390-4227
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2021016981 Missouri

Profile Details

NPI number 1386398980
LBN Legal business name Mccullough, Amanda Jane
Credentials PLMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2022
Last updated Mar 25th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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