Individual
MICHAEL E CALLENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
799 S MALACHITE AVE, MERIDIAN, ID 83642-6394
(208) 350-6759
Mailing address
799 S MALACHITE AVE, MERIDIAN, ID 83642-6394
(323) 304-7950
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-9688
ID
101YM0800X
Mental Health Counselor
LCPC9688
ID
101YM0800X
Mental Health Counselor
LPC-6558
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982131314
—
ID
Enumeration date
05/16/2017
Last updated
05/04/2026
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