Mccallister, Dale Calvin
Mccallister, Dale Calvin is an individual health care provider with primary practice located at 221 New Bridge St , Jacksonville NC 28540-4736. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Mccallister, Dale Calvin can be contacted via phone (910) 378-7676.Contact Information
Primary practice address
221 New Bridge St
Jacksonville NC 28540-4736
Phone: (910) 378-7676
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 101YS0200X | 980729 | North Carolina |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | A14157 | North Carolina |
Profile Details
NPI number | 1811539257 |
---|---|
LBN Legal business name | Mccallister, Dale Calvin |
Credentials | LPCA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 16th, 2019 |
Last updated | Oct 16th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1811539257 | NPPES |
North Carolina | Other | A14157 | NC BOARD OF LICENSED PROFESSIONAL COUNSELORS |
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