Individual
LONNELL JA'VA CALLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1442 XAVIER ST, DENVER, CO 80204-1022
(720) 934-0771
Mailing address
1442 XAVIER ST, DENVER, CO 80204-1022
(720) 934-0771
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
05/03/2026
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