IndividualActive
Bowman Mccullough, ACMHC
NPI 1659103414 · Mental Health Counselor · Payson, UT
Provider details
- NPI number
- 1659103414
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- ACMHC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 13208551-6009 (UT)
Practice location
822 S 1040 W
Payson, UT 84651-4614
Phone: (503) 412-8049
Fax: (801) 609-2447
Mailing address
822 S 1040 W
Payson, UT 84651-4614
Registry dates
- Enumerated
- 2024-08-19
- Last updated
- 2024-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.