Mr. Jonathan P. Mcculloch LLMSW
Clinical Social Worker in Port Huron, MI(View on Map)
Full Name
Mr. Jonathan Peter Mcculloch LLMSW
NPI Number
1730465311
NPI Type
Individual Provider
Gender
Male
Enumeration Date
10/27/2011
Specialties
(Taxonomies)Licenses
State
Michigan
License Number
6851115199
Contact
Information
Purpose
Mailing
Location
Address
COLONIAL WOODS CHRISTIAN COUNSELING CENTER
COLONIAL WOODS CHRISTIAN COUNSELING CENTER
City
Port Huron
Port Huron
State
MI
MI
Postal Code
48060-5418
48060-5418
Country
US
US
Telephone Number
(810) 984-5575
(810) 984-5575
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/20/2023
Provider Address
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