Johnna Mccullough, | |
110 Campus Dr, Bradford, PA 16701-1982 | |
(814) 362-6535 | |
Not Available |
Full Name | Johnna Mccullough |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 110 Campus Dr, Bradford, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104343383 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PC009804 (Pennsylvania) | Primary |
Entity Name | The Guidance Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831256015 PECOS PAC ID: 6103864681 Enrollment ID: O20050425000760 |
Mailing Address | Practice Location Address |
---|---|
Johnna Mccullough, 110 Campus Dr, Bradford, PA 16701-1982 Ph: (814) 362-6535 | Johnna Mccullough, 110 Campus Dr, Bradford, PA 16701-1982 Ph: (814) 362-6535 |
Shannon Mcandrew, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Campus Dr, Bradford, PA 16701 Phone: 814-362-6535 | |
Michael Gallina, Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Campus Dr, Bradford, PA 16701 Phone: 814-362-6535 | |
Kathleen M White, MS, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Main St Rm 604, Bradford, PA 16701 Phone: 814-598-7053 | |
Jennifer L South, PC Counselor Medicare: Medicare Enrolled Practice Location: 110 Campus Dr, Bradford, PA 16701 Phone: 814-362-6535 | |
Colleen Chahal, Counselor Medicare: Medicare Enrolled Practice Location: 110 Campus Dr, Bradford, PA 16701 Phone: 814-362-6535 Fax: 814-362-7358 | |
Robert David Eddy, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 E Main St, Bradford, PA 16701 Phone: 814-817-1400 |