National Provider Identifier
Kathryn McCullough, MSW, PMH-C, CLC
Kathryn McCullough, MSW, PMH-C, CLC is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Elmira, NY and a listed phone number of (607) 733-2820.
Profile Overview
- NPI
- 1205419769
- Provider Type
- Individual
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- May 03, 2021
- Last Updated
- October 02, 2023
Practice Location
- 310 Pennsylvania Ave
- Elmira, NY 14904-1458
Phone: (607) 733-2820
Specialties
- Case Manager/Care Coordinator (171M00000X)
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1205419769
- Entity Type
- Individual
- Last Name
- McCullough
- First Name
- Kathryn
- Credential
- MSW, PMH-C, CLC
- Mailing Street Address
- 310 Pennsylvania Ave
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14904-1458
- Mailing Country
- US
- Mailing Phone
- (607) 733-2820
- Practice Street Address
- 310 Pennsylvania Ave
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14904-1458
- Practice Country
- US
- Practice Phone
- (607) 733-2820
- Enumeration Date
- May 03, 2021
- Last Updated
- October 02, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 02, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Case Manager/Care Coordinator (171M00000X), Mental Health Counselor (101YM0800X)