Individual
CARRIE LYNN CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3850 E STATE ROAD 64, BRADENTON, FL 34208-9040
(941) 748-2697
Mailing address
15831 JADE CT N, NORTH FORT MYERS, FL 33917-3273
(239) 229-7564
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW22762
FL
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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