Individual
JOHN B CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSW, MPA, CCM
Contact information
Practice address
100 EIGHTH ST N, CAROLINA BEACH, NC 28428
(910) 707-3821
Mailing address
PO BOX 540, CAROLINA BEACH, NC 28428-0540
(910) 707-3821
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
4236690
—
171M00000X
Case Manager/Care Coordinator
—
—
171W00000X
Contractor
—
—
172V00000X
Community Health Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4236690
COMMISSION FOR CASE MANAGER CERTIFICATION
—
Enumeration date
11/18/2008
Last updated
09/05/2018
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