Mccullough, Tamika M

Mccullough, Tamika M is an individual health care provider with primary practice located at 955 N D St , San Bernardino CA 92410-3519. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Mccullough, Tamika M can be contacted via phone (909) 885-4645.

Contact Information

Primary practice address
955 N D St San Bernardino CA 92410-3519
Phone: (909) 885-4645
Fax: (909) 885-8574
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X California

Profile Details

NPI number 1902005614
LBN Legal business name Mccullough, Tamika M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2007
Last updated Jul 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902005614 NPPES
California Other 5882 SIMON STAFF NUMBER

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