Individual
JESSICA MCCALLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAC, NCC
Contact information
Practice address
506 E WESTERN AVE STE 104, AVONDALE, AZ 85323-2422
(602) 230-7373
(480) 629-8577
Mailing address
3101 N CENTRAL AVE STE 550, PHOENIX, AZ 85012-2635
(602) 230-7373
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-18234
AZ
Other
Enumeration date
08/03/2020
Last updated
04/25/2025
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