Individual
MICHAEL PATRICK MCCALLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PCMHT
Contact information
Practice address
1150 CHURCH RD W, SOUTHAVEN, MS 38671-7144
(662) 205-0455
Mailing address
9320 RAILROAD AVE., OLIVE BRANCH, MS 38654
(662) 893-1308
(662) 893-1330
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/13/2017
Last updated
12/10/2024
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