COLLEEN CALLAHAN CADC II - NPI 1104394709

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

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About Colleen Callahan Cadc Ii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLEEN CALLAHAN CADC II (NPI 1104394709) is an individual addiction (substance use disorder) provider in Banning, California, licensed in California (A066880825) and active in the NPI registry since November 2018. She maintains a secondary practice location in Colton.

NPPES Registry Identity

NPI1104394709

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameCOLLEEN CALLAHANCredential: CADC II

Location Address2781 W RAMSEY ST STE 3&4Banning, CA 92220-3700

Mailing Address3286 E Guasti Rd Ste 100Ontario, CA 91761-8646

Phone(951) 417-6612

Sole ProprietorNo

Enumeration DateNovember 13, 2018

Last NPPES UpdateMarch 13, 20262 updates tracked since enumeration

NPPES CertifiedMarch 13, 2026

✔ NPI 1104394709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

Licenses✔ Licensed in CA · A066880825✔ Licensed in CA · R1239211216

2781 W RAMSEY ST STE 3&4, Banning, CA 92220

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Secondary Practice Location 1

Location 111646 Encanto LnColton, CA 92324-9218 · Phone (909) 222-4073

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AEGIS TREATMENT CENTERS, LLC

Clinic/Center (Methadone)