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NPI Code Detail

MEDICARE: ERIC MCCALLISTER MA, LPCC-SUPV

MEDICARE:   ERIC  MCCALLISTER  MA, LPCC-SUPV
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorE0004056OH

General Provider Information

NPI Number : 1518273564
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC MCCALLISTER MA, LPCC-SUPV
Provider Business Mailing Address
First Line : 2156 OHIO AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-1665
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2156 OHIO AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-1665
Country : US
Telephone Number : 513-365-6251
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2010
Last Update Date : 08/27/2010

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Directions to “ ERIC MCCALLISTER MA, LPCC-SUPV” Practice Location

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