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:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902005614 | NPPES |
| California | Other | 5882 | SIMON STAFF NUMBER |
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