Individual provider · Type 1 NPI

Nicole Lee Maccallum, LPC

Professional Counselor · Port Arthur, TX

NPI number 1730521808 Active

Practice location

4934 Atlantic Rd
Port Arthur, TX 77642-0165

Call (409) 926-6732 Map

Mailing address

PO Box 1728
Groves, TX 77619-1728

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X68625 (TX)

Professional Counselor: Definition to come...

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About NPI 1730521808

Nicole Lee Maccallum, LPC's National Provider Identifier is 1730521808, issued on Jul 18, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Port Arthur, TX. The record was last updated on Jul 18, 2013.