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Individual

CHRIS A MCCALLISTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CADC R

Contact information

Practice address
920 SW EMKAY DR STE 104, BEND, OR 97702-1043
(541) 383-0844
(541) 383-0840
Mailing address
920 SW EMKAY DR STE 104, BEND, OR 97702-1043
(541) 383-0844
(541) 383-0840

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
175T00000X
Peer Specialist
21-CRM-454
OR

Other

Enumeration date
07/14/2021
Last updated
11/04/2021
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