Individual provider · Type 1 NPI

Kim A. Callaway, LCPC

Professional Counselor · Edwardsville, IL

NPI number 1376825950 Active

Practice location

40B Edwardsville Prof Park
Edwardsville, IL 62025-3602

Call (618) 795-2697 Map

Fax (618) 731-4178

Mailing address

PO Box 101
Edwardsville, IL 62025-0101

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180.007949 (IL)

Professional Counselor: Definition to come...

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About NPI 1376825950

Kim A. Callaway, LCPC's National Provider Identifier is 1376825950, issued on Sep 9, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Edwardsville, IL. The record was last updated on Sep 9, 2011.