Individual
KASEY MCCALLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
178 PRIVATE DRIVE 19423, SOUTH POINT, OH 45680
(740) 451-0741
Mailing address
178 PRIVATE DRIVE 19423, SOUTH POINT, OH 45680
(740) 451-0741
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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