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

Tracey McCullough

Individual provider Technician · NPI 1790132694

Tracey McCullough is a Technician in Ceres, California. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
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Practice location Address checks out

1904 Richland Ave
Ceres, CA 95307-4562
Phone: (209) 541-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Technician Taxonomy 374700000X

Record details

NPI number1790132694
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 20, 2016
Last updated in NPPESOctober 24, 2017
Mailing address800 Scenic Dr Bldg 4, Modesto, CA 95350-6131

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