Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mario McCullum

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1629759154

Mario McCullum is an Addiction (Substance Use Disorder) Counselor in San Diego, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

5855 Streamview Dr
San Diego, CA 92105-3910
Phone: (619) 287-5460
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1629759154
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 27, 2023
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023

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