Individual provider · Type 1 NPI

Ian Edward Callis

Counselor · Santa Cruz, CA

NPI number 1720608185 Active

Practice location

380 Encinal St Ste 200
Santa Cruz, CA 95060-2178

Call (831) 469-1700 Map

Fax (831) 425-1905

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1720608185

Ian Edward Callis's National Provider Identifier is 1720608185, issued on Apr 25, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Santa Cruz, CA. The record was last updated on Apr 25, 2020.