Healthcare Provider Details

I. General information

NPI: 1124941612
Provider Name (Legal Business Name): JASON CALLON PCLC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

940 MOTSIFF RD
HELENA MT
59602-7243
US

IV. Provider business mailing address

940 MOTSIFF RD
HELENA MT
59602-7243
US

V. Phone/Fax

Practice location:
  • Phone: 406-594-8058
  • Fax:
Mailing address:
  • Phone: 406-594-8058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number89265
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: