Individual
AMY CALDERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
855 S BECKFORD DR, SUITE C, HENDERSON, NC 27536-5945
(252) 438-5667
Mailing address
414 COLLEGE ST, OXFORD, NC 27565-2713
(516) 581-6312
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1512
NC
251S00000X
Community/Behavioral Health Agency
Primary
1512
NC
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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