Individual
ANTIQUENETTE CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
4027 GREEN ACRES DR, MONTGOMERY, AL 36106-3444
(334) 233-4185
Mailing address
4027 GREEN ACRES DR, MONTGOMERY, AL 36106-3444
(334) 233-4185
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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