Individual ProviderMark CallahanMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address12421 Hesperia Rd Ste 2, Victorville, CA 92395-7704(760) 243-5417(607) 686-4742PECOS EnrollmentBased on the most recent information from CMS, provider Mark Callahan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1063563245Provider TypeIndividualFull NameCallahan, MarkCredentialLMFTGenderMaleSole ProprietorYesEnumeration Date1/15/2007Last Updated4/15/2025Contact InformationPractice LocationPractice Address12421 Hesperia Rd Ste 2, Victorville, CA 92395-7704Phone(760) 243-5417Fax(760) 780-4591Mailing LocationMailing Address12421 Hesperia Rd Ste 2, Victorville, CA 92395-7704Phone(607) 686-4742FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense106759CaliforniaCode106H00000XDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode373H00000XDescriptionDay Training/Habilitation SpecialistNursing Service Related ProvidersLicenseUnlisted Issuer