Individual
MATTHEW MCCALLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1345 BIRCH AVE, COTTAGE GROVE, OR 97424-1416
(541) 942-3939
Mailing address
1345 BIRCH AVE, P.O. BOX 5, COTTAGE GROVE, OR 97424-1416
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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