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NPI Code Detail

MEDICARE: KRISTIAN TODD CULLINS

MEDICARE: KRISTIAN TODD CULLINS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorPRC20002279DC

General Provider Information

NPI Number : 1629713961
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIAN TODD CULLINS
Provider Business Mailing Address
First Line : 4130 HUNT PL NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-3565
Country : US
Telephone Number : 202-867-5392
Fax Number :
Provider Business Practice Location Address
First Line : 4130 HUNT PL NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-3565
Country : US
Telephone Number : 202-388-4300
Fax Number : 202-388-4339
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2022
Last Update Date : 12/16/2025

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Directions to “ KRISTIAN TODD CULLINS ” Practice Location

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