Individual
BARRY CALLAHAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451025041
MI
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/22/2026
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