Provider Demographics
NPI:1457020935
Name:BARSAMIAN, MCCALL (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:MCCALL
Middle Name:
Last Name:BARSAMIAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25560 W TARA DR
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-1448
Mailing Address - Country:US
Mailing Address - Phone:847-530-4499
Mailing Address - Fax:
Practice Address - Street 1:25560 W TARA DR
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-1448
Practice Address - Country:US
Practice Address - Phone:847-530-4499
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166001287106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist