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Individual

GEORGE CALDERON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CDP

Contact information

Practice address
1629 N 45TH ST, SEATTLE, WA 98103-6701
(206) 633-3350
(206) 633-3113
Mailing address
905 SPRUCE ST, STE. 300, SEATTLE, WA 98104-2474
(206) 461-6935
(206) 461-8382

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RC00017014
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00002230
WA

Other

Enumeration date
08/30/2006
Last updated
09/29/2015
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