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

Samantha Jo Callicoat

Individual provider Mental Health Counselor · NPI 1528543147

Samantha Jo Callicoat is a Mental Health Counselor in San Diego, California. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

1963 4th Ave
San Diego, CA 92101-2394
Phone: (619) 233-3432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1528543147
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 28, 2018
Last updated in NPPESSeptember 28, 2018

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