Individual
MS. SHANIKA MCCALLUM-COPPAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, NCC
Contact information
Practice address
4690 MILLENNIUM DR STE 300, BELCAMP, MD 21017-1527
(443) 722-0249
(410) 275-3551
Mailing address
PO BOX 767, NORTH EAST, MD 21901-0767
(443) 722-0249
(410) 275-3551
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC16719
MD
101YP2500X
Professional Counselor
PC-0011930
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3001831600
—
VA
05
—
335757100
—
MD
Enumeration date
09/18/2023
Last updated
10/12/2025
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