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Contact Information

MARY KATHLEEN CATES CULLISON, LCAC
2751 ALBRIGHT RD
KOKOMO, IN46902-3996
 Phone: 765-450-4843
 Fax: 765-450-4895
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for MARY KATHLEEN CATES CULLISON · (Female)

NPI Number 1982588323
Status Active
Credentials LCAC
Entity Individual
Enumeration date 07/31/2025
Last updated 02/20/2026 - About 3 months ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 34005813A
  • IN License # 87001439A
  • IN Other 34005813A LICENSED CLINICAL SOCIAL WORKER LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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