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Individual

CALVIN WEATHINGTON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1885 LUNDY AVE STE 223, SAN JOSE, CA 95131-1888
(408) 284-9000
Mailing address
2530 BERRYESSA RD APT 452, SAN JOSE, CA 95132-2903
(408) 561-4322

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
16226
CA

Other

Enumeration date
06/08/2021
Last updated
06/11/2024
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