Individual
JEFFREY CALDERON SOTO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1033 BALDY MOUNTAIN RD, SANDPOINT, ID 83864-9202
(208) 290-5151
Mailing address
2416 SAND CREEK LN APT A, SANDPOINT, ID 83864-8934
(208) 290-4145
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3171665
ID
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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