Most Relevant Information
Provider Data
| NPI Number: | 1003800210 |
| Provider Name: | SUSAN E MCCULLEY M.ED., LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 9436 |
Most Important Dates
| Enumeration Date: | 09/01/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
459 W HOUSTON ST
JASPER
TX
759513510
Practice Location Phone/Fax
| Phone: | 4093842340 |
| Fax: | 4093848060 |
Provider Mailing Location
501 MANTOOTH AVE
LUFKIN
TX
759043014
Provider Mailing Phone/Fax
| Phone: | 9366394993 |
| Fax: | 9366396838 |