Individual provider · Type 1 NPI
Jesse Calloway, CASAC
Addiction (Substance Use Disorder) Counselor · Bronx, NY
NPI number
1316898935
Active
Practice location
1776 Clay Ave
Bronx, NY 10457-7299
Fax (718) 583-6439
Mailing address
311 E 175th St
Bronx, NY 10457-5859
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 17745 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1316898935
Jesse Calloway, CASAC's National Provider Identifier is 1316898935, issued on Feb 9, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bronx, NY. The record was last updated on Feb 9, 2026.