KELLY MICHAEL MCCALL NPI 1508353038

NPI Information

NPI: 1508353038
Provider Name: KELLY MICHAEL MCCALL
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
24302 TOLEDO LN
LAKE FOREST, CA
ZIP 92630
Phone: (949) 716-0956
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Kelly Michael Mccall is a mental health counselor in Lake Forest, CA. Kelly Michael Mccall NPI is 1508353038. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

24302 TOLEDO LN
LAKE FOREST, CA
ZIP 92630-935
Phone: (949) 716-0956

The enumeration date for this NPI number is 4/19/2018 and was last updated on 8/17/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103K00000X	Behavior Analyst			CALIFORNIA	No
2	101YM0800X	Counselor	Mental Health	92112	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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