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Individual

MRS. CHARLOTTE LYNN MCCALLA

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LPC LMFT

Contact information

Practice address
1150 DEVEREUX DR, LEAGUE CITY, TX 77573
(281) 332-8608
(281) 332-5283
Mailing address
1150 DEVEREUX DR, LEAGUE CITY, TX 77573
(281) 332-8608
(281) 332-5283

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
8678
TX
106H00000X
Marriage & Family Therapist
Primary
000366000359
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10009098
AMERIGROUP
TX
01
83079L
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/18/2006
Last updated
09/11/2025
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