Individual
CHAD CALKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
502 E 22ND ST, OGDEN, UT 84401
(385) 299-8481
Mailing address
502 E 22ND ST, OGDEN, UT 84401-1519
(385) 299-8481
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
367894-3501
UT
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82-5159778
IRS
—
Enumeration date
03/03/2011
Last updated
08/16/2019
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