Calderon, Jessica
Calderon, Jessica is an sole proprietor health care provider with primary practice located at 109 Enterprise Pkwy Ste 203 , Boerne TX 78006-8636. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Calderon, Jessica can be contacted via phone (512) 766-3579.Contact Information
Primary practice address
109 Enterprise Pkwy Ste 203
Boerne TX 78006-8636
Phone: (512) 766-3579
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 65759 | Texas |
Profile Details
| NPI number | 1326432162 |
|---|---|
| LBN Legal business name | Calderon, Jessica |
| Credentials | M.A., LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 18th, 2015 |
| Last updated | Mar 10th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326432162 | NPPES |
| Texas | MEDICAID | 344671805 |
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