Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark Allen McCullough, MA, LADC-MHCAND

Individual provider Counselor · NPI 1043093479

Mark Allen McCullough, MA, LADC-MHCAND is a Counselor in Edmond, Oklahoma. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

13707 Fairhill Ave
Edmond, OK 73013-1946
Phone: (405) 607-4041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1043093479
Entity typeIndividual (Type 1)
GenderMale
Credentials MA , LADC-MHCAND
Sole proprietorNo
NPI enumeratedAugust 17, 2023
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023

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