Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 292618 | NC |
NPI | 1033478805 |
---|---|
Provider Name | Julie Lynn Callahan |
First Address | Charlotte, NC 28269 |
Second Address | Albemarle, NC 28001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2012 |
Last Update Date | 14/05/2012 |