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Individual
MR. MICAH JR CALDWELL
Active
Individual
MR. MICAH JR CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPCC, LCPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
101Y00000X
Counselor
—
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
16627-130
WI
101YP2500X
Professional Counselor
Primary
180.013357
IL
101YP2500X
Professional Counselor
LPCC5913
CA
Other
Enumeration date
02/20/2013
Last updated
04/18/2023
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