Individual
KENYA MCCALLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2440 WILSON ST, GARY, IN 46404-3249
(219) 290-7252
Mailing address
PO BOX 10992, MERRILLVILLE, IN 46411-0992
(219) 290-7252
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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