NICOLE LEE MACCALLUM

PORT ARTHUR, TX
NPI1730521808
Former NameNICOLE LEE CLARK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: TX  68625)
Enumeration Date2013-07-18
Last Update Date2013-07-18
Business Address
-- NICOLE LEE MACCALLUM LPC
4934 ATLANTIC RD
PORT ARTHUR, TX 77642-0165
Phone number: 409-926-6732
Mailing Address
-- NICOLE LEE MACCALLUM LPC
PO BOX 1728
GROVES, TX 77619-1728
Phone number:
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