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Individual

JOSE MANUEL CALLES III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MASTERS OF ARTS

Contact information

Practice address
622 BURGESSVILLE RD, RUSTON, LA 71270-5154
(318) 224-7223
(318) 415-1004
Mailing address
2708 MONDY RD, SIMSBORO, LA 71275-3565
(318) 794-2271

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7009
LA
101YM0800X
Mental Health Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3329930
LA
Enumeration date
08/13/2019
Last updated
04/29/2026
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