Mccullough, Henry Kenneth

Mccullough, Henry Kenneth is an sole proprietor health care provider with primary practice located at 442 E New York Ave Suite 10, Deland FL 32724-5553. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Mccullough, Henry Kenneth can be contacted via phone (386) 738-1085.

Contact Information

Primary practice address
442 E New York Ave Suite 10 Deland FL 32724-5553
Fax: (386) 738-1085
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH 2762 Florida

Profile Details

NPI number 1427183045
LBN Legal business name Mccullough, Henry Kenneth
Credentials COUNSELOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2007
Last updated Jul 8th, 2007 - about 17 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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