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Mr. Ian Michael Callahan, MFT
Mental Health Counselor in Puyallup, Washington
NPI 1457444002

Ian Michael Callahan is a Mental Health Counselor based in Tacoma, WA and is specialized in Mental Health. Ian Michael Callahan practices in Puyallup, WA and has the professional credentials of MFT. The NPI Number for Ian Michael Callahan is 1457444002 and holds a License No. MC60329803 (Washington).

The current practice location address for Ian Michael Callahan is 325 East Pioneer Avenue, Puyallup, WA and can be reached out via phone at 253-697-8400.

Location: 325 East Pioneer Avenue, Puyallup, WA, 98402-2105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457444002
Provider Name
Ian Michael Callahan
Credential
MFT
Provider Entity Type
Individual
Gender
Male
Address
325 East Pioneer Avenue, Puyallup, WA, 98402-2105
Phone Number
253-697-8400
Fax Number
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CG60152051 05 WA
MC60329803 05 WA
institution
Provider Business Practice Location Address Details
Address
325 East Pioneer Avenue
City
Puyallup
State
Washington
Zip
98372-3265
Phone Number
253-697-8400
Fax Number
person
Provider Business Mailing Address Details
Address
325 East Pioneer Avenue
City
Puyallup
State
Washington
Zip
98372-3265
Phone Number
253-697-8400
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MC60329803 (Washington)
Definition
Definition to come...
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