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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811539257 NPPES
North Carolina Other A14157 NC BOARD OF LICENSED PROFESSIONAL COUNSELORS

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