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John Chase Callon, ADT
Addiction (Substance Use Disorder) Counselor in Frederick, Maryland
NPI 1528639598

John Chase Callon is an Addiction (Substance Use Disorder) Counselor based in Frederick, MD and is specialized in Addiction (Substance Use Disorder). John Chase Callon practices in Frederick, MD and has the professional credentials of ADT. The NPI Number for John Chase Callon is 1528639598 and holds a License No. ADT2211 (Maryland).

The current practice location address for John Chase Callon is 201 Broadway St Ste 110, Frederick, MD and can be reached out via phone at 240-801-7799.

Location: 201 Broadway St Ste 110, Frederick, MD, 21702-4151
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528639598
Provider Name
John Chase Callon
Credential
ADT
Provider Entity Type
Individual
Gender
Male
Address
201 Broadway St Ste 110, Frederick, MD, 21702-4151
Phone Number
240-801-7799
Fax Number
Provider Enumeration Date
07/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
201 Broadway St Ste 110
City
Frederick
State
Maryland
Zip
21701-6696
Phone Number
240-801-7799
Fax Number
person
Provider Business Mailing Address Details
Address
201 Broadway St Ste 110
City
Frederick
State
Maryland
Zip
21701-6696
Phone Number
240-801-7799
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
ADT2211 (Maryland)
Definition
Definition to come...
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