Individual
DR. BETSY NICHOLSON CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DSW LCSW
Contact information
Practice address
LIFESKILLS SUPPORT CTR, HILL AIR FORCE BASE, HILL AFB, UT 84056
(801) 777-7909
(801) 777-4490
Mailing address
1782 E HOLLADAY BLVD, SALT LAKE CITY, UT 84124-2606
(801) 272-3584
(801) 272-3584
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1314123501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1314123501
LCSW DIV OF OCC. PROF LIC
UT
Enumeration date
08/30/2006
Last updated
07/08/2007
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