Individual provider · Type 1 NPI

Jessica Lynn Callaway, LPCC

Mental Health Counselor · Espanola, NM

NPI number 1760615140 Active

Practice location

1102 A Paseo De Onate
Espanola, NM 87532

Call (505) 852-1377 Map

Fax (505) 852-1378

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X0120981 (NM)
Mental Health Counselor 101YM0800X0113441 (NM)
Mental Health Counselor Primary 101YM0800X0132841 (NM)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1760615140

Jessica Lynn Callaway, LPCC's National Provider Identifier is 1760615140, issued on Sep 1, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Espanola, NM. The record was last updated on Jul 8, 2010.