Derrick McCullom's National Provider Identifier (NPI) Details
Derrick McCullom, LPC
NPI: 1447020573
Enumeration Date: 2024-01-09
Last updated: 2024-01-11
Sole Proprietor: YES
Status: active
Postal Address: 34290 FORD RD, WESTLAND, MI
Phone: 313-445-2695
Primary Practice Address: 34290 FORD RD, WESTLAND, MI
Practice's phone: 313-445-2695