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Contact Information

REBEKAH MCCULLOUGH
107 W ORCHARD AVE
SELAH, WA98942
 Phone: 714-782-4995
 Fax: 509-698-2744
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for REBEKAH MCCULLOUGH · (Female)

NPI # 1063847580
Status Active
Credentials
Entity Individual
Enumeration date 09/04/2013
Last updated 07/27/2018 - More than a year ago
Sole proprietor 1 Yes
Identifiers Not Available
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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