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NPI Code Detail

MEDICARE: AIMEE CAMPBELL CULLER

MEDICARE:   AIMEE CAMPBELL CULLER
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
1101YA0400XAddiction (Substance Use Disorder) Counselor246494NC
21041C0700XClinical Social WorkerC013668NC

General Provider Information

NPI Number : 1215206214
Entity Type Code : Individual
Provider Name (Legal Business Name) : AIMEE CAMPBELL CULLER
Provider Business Mailing Address
First Line : 284 EXECUTIVE PARK DRIVE
Second Line : SUITE 100
City : CONCORD
State : NC
Zip : 28025-1894
Country : US
Telephone Number : 704-939-1100
Fax Number :
Provider Business Practice Location Address
First Line : 919 N MAIN ST
Second Line :
City : MOORESVILLE
State : NC
Zip : 28115-2355
Country : US
Telephone Number : 704-591-4003
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2011
Last Update Date : 10/07/2024

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Directions to “ AIMEE CAMPBELL CULLER ” Practice Location

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