Individual
JOSEPH CALCAGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1333 IRIS AVE, BOULDER, CO 80304-2226
(303) 443-8500
Mailing address
1333 IRIS AVE, BOULDER, CO 80304-2226
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1216BB
—
CO
Enumeration date
08/06/2012
Last updated
08/06/2012
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