Brett Michael Calland, M.A.
Individual provider Active NPI Counselor · Valparaiso, IN
NPI 1154588408 · NPPES record last updated May 22, 2008
Key facts
- NPI
- 1154588408
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 4004 Campbell St
Valparaiso, IN 46385-1773 - Phone
- (219) 462-9000
- Fax
- (219) 462-9000
- NPI assigned
- May 22, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
4004 Campbell St
Valparaiso, IN 46385-1773
Mailing address
4004 Campbell St
Valparaiso, IN 46385-1773
Phone (219) 462-9000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87-0724722 | Other | IN | INDIANA TAX ID |
Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.