National Provider Identifier

Candace McCullough

Candace McCullough is listed in the NPPES registry with a primary specialty of Mental Health Counselor in West Seneca, NY and a listed phone number of (716) 677-7081.

NPI 1235637190West Seneca, NYMental Health Counselor

Profile Overview

NPI
1235637190
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
January 25, 2018
Last Updated
January 25, 2018

Practice Location

  • 1010 E And West RD
  • West Seneca, NY 14224-3602

Phone: (716) 677-7081

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1235637190
Entity Type
Individual
Last Name
McCullough
First Name
Candace
Mailing Street Address
1010 E And West RD
Mailing City
West Seneca
Mailing State
NY
Mailing ZIP Code
14224-3602
Mailing Country
US
Mailing Phone
(726) 677-7081
Mailing Fax
(716) 677-7073
Practice Street Address
1010 E And West RD
Practice City
West Seneca
Practice State
NY
Practice ZIP Code
14224-3602
Practice Country
US
Practice Phone
(716) 677-7081
Practice Fax
(716) 677-7073
Enumeration Date
January 25, 2018
Last Updated
January 25, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)