| Doctor Name: | JENNIFER CULLINS |
| NPI Number: | 1407110133 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA |
| License Number: | |
| Business Practice Address: | 255 N Miami St Wabash, IN - 469922705 |
| Business Phone Number: | 2605638446 |
| Business Fax Number: | 2605631902 |
| Mailing Address: | 850 N Harrison St, C/o Anne Lawson WARSAW |
| State: | IN |
| Postal Code: | 465803163 |
| Phone Number: | 5742677878 |
| Fax Number: | 5742682377 |
| NPI Enumeration Date: | 06/27/2012 |
| NPI Last Update Date: | 06/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |