Provider Demographics
NPI:1821772120
Name:MCCALL, SHEDRICK DWIGHT JR (EDD, LPC-R)
Entity Type:Individual
Prefix:DR
First Name:SHEDRICK
Middle Name:DWIGHT
Last Name:MCCALL
Suffix:JR
Gender:M
Credentials:EDD, LPC-R
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8813 PROCTORS RUN DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23237-2774
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6601 IRONGATE SQ STE C
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23234-6077
Practice Address - Country:US
Practice Address - Phone:804-564-4173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health