Individual
CHRISTIAN CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SAC IT
Contact information
Practice address
1111 S 6TH ST, MILWAUKEE, WI 53204-2301
(414) 643-8530
(414) 647-8602
Mailing address
1028 S 9TH ST, MILWAUKEE, WI 53204-1335
(414) 643-8530
(414) 647-8602
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16899-130
WI
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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