Individual
JACQUELINE CALLAHAN-STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC,LADC
Contact information
Practice address
38 OLD RIDGEBURY RD, DANBURY, CT 06810-5128
(203) 792-4515
(203) 748-2632
Mailing address
38 OLD RIDGEBURY RD, DANBURY, DANBURY, CT 06810-5128
(203) 792-4515
(203) 748-2632
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000491
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01420795
—
CT
05
—
01420795
—
NY
Enumeration date
08/27/2009
Last updated
11/26/2013
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