National Provider Identifier
Leslie A. McCulloch, LMHC, ACS, NCC
Leslie A. McCulloch, LMHC, ACS, NCC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Corfu, NY and a listed phone number of (719) 868-0109.
Profile Overview
- NPI
- 1366571432
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- March 05, 2007
- Last Updated
- July 08, 2007
Practice Location
- 1414 Fuller RD
- Corfu, NY 14036-9736
Phone: (719) 868-0109
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1366571432
- Entity Type
- Individual
- Last Name
- McCulloch
- First Name
- Leslie
- Middle Name
- A.
- Name Prefix
- Dr.
- Credential
- LMHC, ACS, NCC
- Mailing Street Address
- 1414 Fuller RD
- Mailing City
- Corfu
- Mailing State
- NY
- Mailing ZIP Code
- 14036-9736
- Mailing Country
- US
- Mailing Phone
- (719) 868-0109
- Practice Street Address
- 1414 Fuller RD
- Practice City
- Corfu
- Practice State
- NY
- Practice ZIP Code
- 14036-9736
- Practice Country
- US
- Practice Phone
- (719) 868-0109
- Enumeration Date
- March 05, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)