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TRACEY MCCULLOUGH
NPI 1790132694
Counselor - Addiction (Substance Use Disorder) in Ceres, CA

Active since May 20, 2016
1904 RICHLAND AVE, CERES, CA 95307(209) 541-2121 Get Directions Write a Review

NPPES record last updated: October 24, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 24, 2017, May 20, 2016 (2 updates tracked since 2016).

About Tracey Mccullough NPPES

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

TRACEY MCCULLOUGH (NPI 1790132694) is an individual addiction (substance use disorder) provider in Ceres, California and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1790132694
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTRACEY MCCULLOUGH
Location Address1904 RICHLAND AVECeres, CA 95307-4562
Mailing Address800 Scenic Dr Bldg 4Modesto, CA 95350-6131 · (209) 541-6146
Phone(209) 541-2121
Sole ProprietorYes
Enumeration DateMay 20, 2016
Last NPPES UpdateOctober 24, 20172 updates tracked since enumeration
✔ NPI 1790132694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedTechnicianTaxonomy 374700000X
1904 RICHLAND AVE, Ceres, CA 95307
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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.

JULIA ROSE GARDEA
Technician
1904 RICHLAND AVE
CERES, CA 95307
Stanislaus County (209) 541-2121
ALYSSA WELLS LMFT
Marriage & Family Therapist
1904 RICHLAND AVE
CERES, CA 95307
Stanislaus County (209) 558-4600
GHAZIA HASSAN
Counselor (Professional)
1904 RICHLAND AVE
CERES, CA 95307
Stanislaus County (209) 525-7472
TELECARE CORPORATION
Psychiatric Hospital
1904 RICHLAND AVE
CERES, CA 95307
Stanislaus County (510) 337-7950
CONSTANCE MCDONALD
Counselor (Mental Health)
1904 RICHLAND AVE
CERES, CA 95307
Stanislaus County (209) 300-8800
ROSEANN REYNOSO CADC-11
Counselor (Addiction (Substance Use Disorder))
1904 RICHLAND AVE
CERES, CA 95307
Stanislaus County (209) 525-7411
MRS. SAQUOIRA CHILES
Social Worker (Clinical)
1904 RICHLAND AVE
CERES, CA 95307
Stanislaus County (209) 300-8800
BHRS
Counselor (Addiction (Substance Use Disorder))
1904 RICHLAND AVE
CERES, CA 95307
Stanislaus County (209) 525-7411

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 Tracey Mccullough's NPI number?

The NPI number for Tracey Mccullough is 1790132694. It was assigned to this individual provider in the NPPES registry on May 20, 2016.

Where is Tracey Mccullough located?

Tracey Mccullough practices at 1904 Richland Ave, Ceres, CA 95307. The listed phone number is (209) 541-2121.

What is Tracey 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 Tracey Mccullough was last updated on October 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.