Individual
JESUS M CALVILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
821 RAYMOND AVE STE 200D, SAINT PAUL, MN 55114-1503
(612) 293-7176
Mailing address
2082 4TH ST E, SAINT PAUL, MN 55119-4004
(612) 221-7450
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CC01686
MN
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/02/2013
Last updated
03/01/2022
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