Individual
JOHNNY MCCALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCPC, LCDC, LPC-A
Contact information
Practice address
2304 BARDIN RD STE 202, GRAND PRAIRIE, TX 75052-3855
(972) 236-7484
(682) 292-2402
Mailing address
2304 BARDIN RD STE 202, GRAND PRAIRIE, TX 75052-3855
(972) 236-7484
(682) 292-2402
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
87594
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
16065
TX
101YP1600X
Pastoral Counselor
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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