Individual
MRS. CARLA JEAN CALKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
670 PLACERVILLE DR, PLACERVILLE, CA 95667-4200
(530) 621-6290
Mailing address
PO BOX 385, DIAMOND SPRINGS, CA 95619-0385
(530) 644-1587
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MFC43493
CA
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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