Individual provider · Type 1 NPI
Brian Smith McCallum
Counselor · Crystal Lake, IL
NPI number
1962775734
Active
Practice location
9414 Route 176
Crystal Lake, IL 60014
Mailing address
15127 S 73rd Ave, Suite G
Orland Park, IL 60462-4398
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 178.005657 (IL) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1962775734
Brian Smith McCallum's National Provider Identifier is 1962775734, issued on Feb 9, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Crystal Lake, IL. The record was last updated on Feb 9, 2012.