Individual
MS. MARISA L CALDERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10561 JEFFREYS ST, #230, HENDERSON, NV 89052-4266
(702) 565-6565
Mailing address
10561 JEFFREYS ST, #230, HENDERSON, NV 89052-4266
(702) 565-6565
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
—
—
246ZS0410X
Surgical Technologist
Primary
—
—
Other
Enumeration date
06/16/2012
Last updated
09/02/2013
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