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Individual
DR. MICHAEL I CALLIS
Active
Individual
DR. MICHAEL I CALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., MSCP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
19292
CA
103TC0700X
Clinical Psychologist
Primary
19292
CA
103TH0100X
Health Service Psychologist
19292
CA
Other
Enumeration date
01/03/2010
Last updated
01/03/2010
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