| Doctor Name: | MS. JENNIFER P MCCALLISTER |
| NPI Number: | 1083858468 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RMHC INTERN |
| License Number: | IMH 6984 |
| Business Practice Address: | 1075 Regal Pointe Ter Apt 215 Lake Mary, FL - 327462043 |
| Business Phone Number: | 4074168295 |
| Business Fax Number: | |
| Mailing Address: | 1075 Regal Pointe Ter, Apt 215 LAKE MARY |
| State: | FL |
| Postal Code: | 327462043 |
| Phone Number: | 4074168295 |
| Fax Number: | |
| NPI Enumeration Date: | 04/29/2009 |
| NPI Last Update Date: | 04/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | IMH 6984 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |