Individual
DALE CALVIN MCCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCA
Contact information
Practice address
221 NEW BRIDGE ST, JACKSONVILLE, NC 28540-4736
(910) 378-7676
Mailing address
815 LITTLEJOHN AVE, JACKSONVILLE, NC 28546-5517
(910) 346-8504
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
A14157
NC
101YS0200X
School Counselor
980729
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A14157
NC BOARD OF LICENSED PROFESSIONAL COUNSELORS
NC
Enumeration date
10/16/2019
Last updated
10/16/2019
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