| Heather Mcculloch, Lmft, Llc | |
|
190 Central Park Sq Suite 216 Los Alamos NM 87544-4001 | |
| (505) 661-8098 | |
| (505) 662-0099 |
| Full Name | Heather Mcculloch, Lmft, Llc |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 190 Central Park Sq, Los Alamos, New Mexico |
| Authorized Official Name and Position | Heather Mcculloch (OWNER/ LMFT) |
| Authorized Official Contact | 5056610898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Mcculloch, Lmft, Llc 190 Central Park Sq Suite 216 Los Alamos NM 87544-4001 Ph: (505) 661-8098 | Heather Mcculloch, Lmft, Llc 190 Central Park Sq Suite 216 Los Alamos NM 87544-4001 Ph: (505) 661-8098 |
| NPI Number | 1912238965 |
|---|---|
| Provider Enumeration Date | 01/14/2010 |
| Last Update Date | 01/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912238965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 0107741 (New Mexico) | Primary |
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