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Individual
JESSICA CALDERA
Active
Individual
JESSICA CALDERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MST
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
01369101
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L7904
—
NM
Enumeration date
09/09/2009
Last updated
03/17/2015
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