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KELLY MCCULLOUGH
NPI 1417333873
Counselor - Addiction (Substance Use Disorder) in Pasco, WA

Active since August 07, 2015
715 W COURT ST, PASCO, WA 99301(509) 554-6506(509) 546-0520 Get Directions Write a Review

NPPES record last updated: October 12, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Mccullough NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY MCCULLOUGH (NPI 1417333873) is an individual addiction (substance use disorder) provider in Pasco, Washington, licensed in Washington (CP60184864) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1417333873
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLY MCCULLOUGH
Location Address715 W COURT STPasco, WA 99301-4153
Mailing Address1707 W 34th AveKennewick, WA 99337-3838
Phone(509) 554-6506
Fax(509) 546-0520
Sole ProprietorNo
Enumeration DateAugust 7, 2015
Last NPPES UpdateOctober 12, 2018
✔ NPI 1417333873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CP60184864
715 W COURT ST, Pasco, WA 99301
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. BOBBI JEAN THOMPSON RDH
Dental Hygienist
715 W COURT ST
PASCO, WA 99301
Franklin County (509) 547-2204
BERTHA GARZA
Case Manager/Care Coordinator
715 W COURT ST
PASCO, WA 99301
Franklin County (509) 543-1980
ZAIRA GARIBALDO
Social Worker
715 W COURT ST
PASCO, WA 99301
Franklin County (509) 547-2204
KATHLEEN JO-ANN KASPER CG61320420
Case Manager/Care Coordinator
715 W COURT ST
PASCO, WA 99301
Franklin County (509) 543-8508
TRI-CITIES COMMUNITY HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
715 W COURT ST
PASCO, WA 99301
Franklin County (509) 545-6506
SCOTT MICHAEL MSW
Social Worker (Clinical)
715 W COURT ST
PASCO, WA 99301
Franklin County (509) 545-6506
MRS. MICHELE LYNN ZEMAN-TOURANGEAU BS
Case Manager/Care Coordinator
715 W COURT ST, 2ND FLOOR
PASCO, WA 99301
Franklin County (509) 545-6506
MS. CHRYSTAL SHAWNTELLE MONTGOMERY CDP
Counselor (Addiction (Substance Use Disorder))
715 W COURT ST
PASCO, WA 99301
Franklin County (509) 543-1924

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Mccullough's NPI number?

The NPI number for Kelly Mccullough is 1417333873. It was assigned to this individual provider in the NPPES registry on August 7, 2015.

Where is Kelly Mccullough located?

Kelly Mccullough practices at 715 W Court St, Pasco, WA 99301. The listed phone number is (509) 554-6506.

What is Kelly Mccullough's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kelly Mccullough was last updated on October 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.