Individual
MRS. CALLISTA DENEE SHRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED.
Contact information
Practice address
501 E GRAND AVE, SAYRE, OK 73662-1917
(405) 253-3838
Mailing address
300 W JEFFERSON ST, MANGUM, OK 73554-4067
(580) 706-0182
(580) 350-6286
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6620
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor
6620
OK
101YM0800X
Mental Health Counselor
6620
OK
Other
Enumeration date
06/23/2014
Last updated
03/10/2026
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