Individual
MIGUEL CALDERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.A.D.C.
Contact information
Practice address
54 NORTH ST, WILLIMANTIC, CT 06226-2528
(860) 450-0151
(860) 450-7152
Mailing address
54 NORTH ST, WILLIMANTIC, CT 06226-2528
(860) 450-0151
(860) 450-7152
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
585
CT
101YM0800X
Mental Health Counselor
Primary
585
CT
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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