Provider Demographics
NPI:1205179967
Name:CALDON, SUZANN JOY (RN, LADC)
Entity Type:Individual
Prefix:MS
First Name:SUZANN
Middle Name:JOY
Last Name:CALDON
Suffix:
Gender:F
Credentials:RN, LADC
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Mailing Address - Street 1:25 COUNTRY CLUB ROAD,
Mailing Address - Street 2:VILLAGE WEST ONE BUILDING 7
Mailing Address - City:GILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03249
Mailing Address - Country:US
Mailing Address - Phone:603-524-8005
Mailing Address - Fax:603-524-7275
Practice Address - Street 1:25 COUNTRY CLUB RD
Practice Address - Street 2:VILLAGE WEST ONE BUILDING 7
Practice Address - City:GILFORD
Practice Address - State:NH
Practice Address - Zip Code:03249-6972
Practice Address - Country:US
Practice Address - Phone:603-524-8005
Practice Address - Fax:603-524-7275
Is Sole Proprietor?:No
Enumeration Date:2013-04-01
Last Update Date:2013-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0532101YA0400X
NH01448121163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)