Individual provider · Type 1 NPI
Jacob P. Callaway, CRC
Mental Health Counselor · West Haven, CT
NPI number
1215795448
Active
Practice location
950 Campbell Ave
West Haven, CT 06516-2770
Mailing address
287 Brainerd St
South Hadley, MA 01075-1701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1215795448
Jacob P. Callaway, CRC's National Provider Identifier is 1215795448, issued on Mar 12, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Haven, CT. The record was last updated on Mar 12, 2024.