Doctor Name: | JULIE LYNN CALLAHAN |
NPI Number: | 1033478805 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, NCC |
License Number: | 292618 |
Business Practice Address: | 120 Ludlow Street Albemarle, NC - 28001 |
Business Phone Number: | 7045505164 |
Business Fax Number: | |
Mailing Address: | 9513 Saddle Run Trail, CHARLOTTE |
State: | NC |
Postal Code: | 28269 |
Phone Number: | 7045772381 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2012 |
NPI Last Update Date: | 05/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | 292618 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |