Individual provider · Type 1 NPI

Jodi Shaver Callahan, LPC, LCAS

Mental Health Counselor · Winston Salem, NC

NPI number 1386915148 Active

Practice location

175 Kimel Park Dr Ste 100
Winston Salem, NC 27103-6951

Mailing address

PO Box 751803
Charlotte, NC 28275-1803

Other practice locations

  • 284 Executive Park Drive, Suite 100, Concord, NC 28025-1894 · (704) 939-1100

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X3063 (NC)
Professional Counselor 101YP2500X9585 (NC)
Mental Health Counselor Primary 101YM0800X9585 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1386915148

Jodi Shaver Callahan, LPC, LCAS's National Provider Identifier is 1386915148, issued on Jan 25, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Winston Salem, NC. The record was last updated on Sep 20, 2024.