Doctor Name: | MRS. KERRI CHRISTINA LEGETTE MCCULLOUGH |
NPI Number: | 1164871612 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LGPC, NCC |
License Number: | LGPC112 |
Business Practice Address: | 1731 Bunker Hill Rd Ne Washington, DC - 200173026 |
Business Phone Number: | 2028367776 |
Business Fax Number: | 2025630109 |
Mailing Address: | 1731 Bunker Hill Rd Ne, WASHINGTON |
State: | DC |
Postal Code: | 200173026 |
Phone Number: | 2028367776 |
Fax Number: | 2025630109 |
NPI Enumeration Date: | 06/06/2016 |
NPI Last Update Date: | 06/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LGPC112 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |