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Joshua Cache McCallum

Peer Specialist in Aberdeen, WA. Individual provider (NPI-1).

NPI number1982113585
StatusActive
Last updated in NPPESMay 1, 2018

Details

NPI
1982113585
Entity type
Individual (NPI-1)
Name
Joshua Cache McCallum
Sex
Male
Sole proprietor
No
Enumeration date
Sep 26, 2017
Last updated
May 1, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

2700 Simpson Ave Ste 101
Aberdeen, WA 98520-4333

Phone 360-612-0012

Mailing address

921 14th Avenue
Longview, WA 98632

Phone 360-423-0203 · Fax 360-577-0269

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