Fabiola Calderon
Marriage & Family Therapist in Fullerton, CA. Individual provider (NPI-1).
NPI number1124359294
StatusActive
Last updated in NPPESMar 6, 2020
Details
- NPI
- 1124359294
- Entity type
- Individual (NPI-1)
- Name
- Fabiola Calderon
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 28, 2010
- Certification date
- Mar 6, 2020
- Last updated
- Mar 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 113103 | CA | Yes |
| 106H00000X | Marriage & Family Therapist | 91889 | CA | |
| 225400000X | Rehabilitation Practitioner | – | – |
Practice location
680 Langsdorf Dr Ste 200Fullerton, CA 92831-3702
Phone 714-871-9264 · Fax 714-871-5032
Mailing address
940 Avenue 64Pasadena, CA 91105-2711
Phone 323-543-2800
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All 290 Marriage & Family Therapist providers in Fullerton · All 6,385 providers in Fullerton
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