Individual
BENJAMIN CALDERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, CAS
Contact information
Practice address
805 W 4TH ST, PUEBLO, CO 81003-2305
(720) 306-8266
Mailing address
177 E IDAHO SPRINGS DR, PUEBLO, CO 81007-2715
(719) 334-0826
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0021144
CO
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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