Mccullough, Sandra Cheryl
Mccullough, Sandra Cheryl is an individual health care provider with primary practice located at 5400 W Franklin Rd Suite H, Boise ID 83705. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Mccullough, Sandra Cheryl can be contacted via phone (208) 345-1170.Contact Information
Primary practice address
5400 W Franklin Rd Suite H
Boise ID 83705
Phone: (208) 345-1170
Fax: (208) 345-3502
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LCPC260 | Idaho |
Profile Details
| NPI number | 1720047384 |
|---|---|
| LBN Legal business name | Mccullough, Sandra Cheryl |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Sep 9th, 2009 - about 15 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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