Individual
CASSIDY DANIELLE MCCALLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C061361108
Contact information
Practice address
111 SOUTH 2ND AVE, YAKIMA, WA 98902
(509) 575-2885
Mailing address
403 RUBY AVE, GRANDVIEW, WA 98930-6103
(360) 952-2430
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61361108
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91-0948131
—
WA
Enumeration date
01/09/2025
Last updated
03/16/2026
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