Provider Demographics
NPI:1386685998
Name:CALDERON, CHRISTINA A (LPC)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:A
Last Name:CALDERON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:668 EL PARQUE DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-2216
Mailing Address - Country:US
Mailing Address - Phone:915-587-8825
Mailing Address - Fax:
Practice Address - Street 1:1501 ARIZONA AVE
Practice Address - Street 2:SUITE 10 B
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-5014
Practice Address - Country:US
Practice Address - Phone:915-542-4200
Practice Address - Fax:915-542-4204
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16380101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional