| Kecia L Mccullough Lcsw Psychotherapy Services Pllc | |
|
45 Gilmore St Rochester NY 14605-1309 | |
| (585) 233-9794 | |
| Not Available |
| Full Name | Kecia L Mccullough Lcsw Psychotherapy Services Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 45 Gilmore St, Rochester, New York |
| Authorized Official Name and Position | Kecia Lee Mccullough (CLINICAL THERAPIST) |
| Authorized Official Contact | 5852339794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kecia L Mccullough Lcsw Psychotherapy Services Pllc 45 Gilmore St Rochester NY 14605-1309 Ph: (585) 233-9794 | Kecia L Mccullough Lcsw Psychotherapy Services Pllc 45 Gilmore St Rochester NY 14605-1309 Ph: (585) 233-9794 |
| NPI Number | 1497579874 |
|---|---|
| Provider Enumeration Date | 11/12/2024 |
| Last Update Date | 11/12/2024 |
| Certification Date | 11/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497579874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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