Individual
CLAUDIA CALDERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1123 CLAIREMONT AVE, DECATUR, GA 30030-1207
(404) 913-2434
Mailing address
483 E PHARR RD, DECATUR, GA 30030-4427
(404) 913-2434
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC 1922
KS
101YP2500X
Professional Counselor
Primary
LPC008938
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098080A
—
KS
01
—
100098080C
SED WAIVER
KS
Enumeration date
01/22/2007
Last updated
05/03/2025
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