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Individual

MR. DANIEL J. CALLAHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MCAP, MSW, ICRC-ADC

Contact information

Practice address
18070 S TAMIAMI TRL STE 11, FORT MYERS, FL 33908-4602
(239) 687-9198
Mailing address
18070 S TAMIAMI TRL STE 11, FORT MYERS, FL 33908-4602
(239) 687-9198

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
100046
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAP100046
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100046
MCAP
FL
Enumeration date
09/20/2016
Last updated
05/02/2019
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