Individual
JACOB P CALLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRC
Contact information
Practice address
950 CAMPBELL AVE, WEST HAVEN, CT 06516-2770
(203) 932-5711
Mailing address
287 BRAINERD ST, SOUTH HADLEY, MA 01075-1701
(413) 575-2183
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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