Individual
SHANNON MCCALLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3321 HAROLD DR NE, SALEM, OR 97305-1339
(503) 399-5597
Mailing address
240 W JEFFERSON, CARLTON, OR 97111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/22/2007
Last updated
03/20/2008
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