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.
Source: public NPPES record, last updated January 25, 2018. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
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)
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Biography
Candace L. McCullough is a New York-registered Licensed Master Social Worker, with state licensure dating to 2007 and current registration listed through February 2027 in New York’s license verification. Her West Seneca practice context aligns with Western New York Children’s Psychiatric Center, a state-operated child and adolescent psychiatric facility serving youth in Western New York.
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
- Taxonomies
- Mental Health Counselor (101YM0800X)