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Nicole Lee Maccallum, LPC
Professional Counselor in Port Arthur, Texas
NPI 1730521808

Nicole Lee Maccallum is a Professional Counselor based in Groves, TX and is specialized in Professional. Nicole Lee Maccallum practices in Port Arthur, TX and has the professional credentials of LPC. The NPI Number for Nicole Lee Maccallum is 1730521808 and holds a License No. 68625 (Texas).

The current practice location address for Nicole Lee Maccallum is 4934 Atlantic Rd, Port Arthur, TX and can be reached out via phone at 409-926-6732.

Location: 4934 Atlantic Rd, Port Arthur, TX, 77619-1728
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730521808
Provider Name
Nicole Lee Maccallum
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
4934 Atlantic Rd, Port Arthur, TX, 77619-1728
Phone Number
409-926-6732
Fax Number
Provider Enumeration Date
07/18/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4934 Atlantic Rd
City
Port Arthur
State
Texas
Zip
77642-0165
Phone Number
409-926-6732
Fax Number
person
Provider Business Mailing Address Details
Address
4934 Atlantic Rd
City
Port Arthur
State
Texas
Zip
77642-0165
Phone Number
409-926-6732
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
68625 (Texas)
Definition
Definition to come...
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