| Brad Cullum Counseling Pllc | |
|
142 Old Town Blvd N Ste 200 Lantana TX 76226-3954 | |
| (940) 294-7061 | |
| Not Available |
| Full Name | Brad Cullum Counseling Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 142 Old Town Blvd N Ste 200, Lantana, Texas |
| Authorized Official Name and Position | Brad Cullum (PRESIDENT) |
| Authorized Official Contact | 9402947061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brad Cullum Counseling Pllc 142 Old Town Blvd N Ste 200 Lantana TX 76226-3954 Ph: (940) 294-7061 | Brad Cullum Counseling Pllc 142 Old Town Blvd N Ste 200 Lantana TX 76226-3954 Ph: (940) 294-7061 |
| NPI Number | 1104438795 |
|---|---|
| Provider Enumeration Date | 08/17/2020 |
| Last Update Date | 08/17/2020 |
| Certification Date | 08/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104438795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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