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Individual

MR. BARRY PROBST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MFT, CSAC

Contact information

Practice address
284 FRONT ST, LAHAINA, HI 96761-1112
(808) 205-0374
Mailing address
284 FRONT ST, LAHAINA, HI 96761-1112
(808) 205-0374

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1675-12
HI
106H00000X
Marriage & Family Therapist
Primary
499
HI

Other

Enumeration date
10/08/2014
Last updated
05/02/2017
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