Callahan, Christopher Gerald

Callahan, Christopher Gerald is an sole proprietor health care provider with primary practice located at 1000 Main St Ste 3 , Port Jefferson NY 11777-2250. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Callahan, Christopher Gerald can be contacted via phone (631) 743-5659.

Contact Information

Primary practice address
1000 Main St Ste 3 Port Jefferson NY 11777-2250
Phone: (631) 743-5659
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 096108 New York
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 30721 New York

Profile Details

NPI number 1316420714
LBN Legal business name Callahan, Christopher Gerald
Credentials LCSW, CASAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2018
Last updated Sep 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316420714 NPPES
New York Other 30721 CASAC
New York Other 096108 CASAC

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