Individual
JOHN CHASE CALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ADT
Contact information
Practice address
201 BROADWAY ST STE 110, FREDERICK, MD 21701-6696
(240) 801-7799
Mailing address
620 LEE PL, FREDERICK, MD 21702-4151
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT2211
MD
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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