Organization
MICHAEL E CALLENDER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH JANE SHARP (BILLING & CREDENTIALING ASSOCIATE)
(208) 350-6759
Entity
Organization
Contact information
Practice address
799 S MALACHITE AVE, MERIDIAN, ID 83642-6394
(208) 350-6759
Mailing address
799 S MALACHITE AVE, MERIDIAN, ID 83642-6394
(208) 350-6759
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982131314
—
ID
Enumeration date
06/08/2026
Last updated
06/08/2026
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