Search › Virginia › 104100000X
Gardner Mccullough, LCSW
NPI 1538787726 · on the registry since 2020
Practice
- Address
- 3301 Richmond Hwy # 1192
Alexandria, VA 22305 - Phone
- (571) 596-7864
- Fax
- (833) 542-3318
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia