Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Christopher D Callicott

Individual provider Counselor · NPI 1790512374

Christopher D Callicott is a Counselor in Port Saint Lucie, Florida. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2024

Practice location Address checks out

11410 SW Roma Way Apt 301
Port Saint Lucie, FL 34987-1020
Phone: (470) 503-6444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 060481373 (GA)

Record details

NPI number1790512374
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 17, 2024
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024
Mailing address11410 Sw Roma Way Apt 301, Port Saint Lucie, FL 34987-1020

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