Provider Demographics
NPI:1811636673
Name:CALHOUN, VALERIE MAE (PCA)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:MAE
Last Name:CALHOUN
Suffix:
Gender:F
Credentials:PCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1464
Mailing Address - Street 2:
Mailing Address - City:ESTACADA
Mailing Address - State:OR
Mailing Address - Zip Code:97023-1464
Mailing Address - Country:US
Mailing Address - Phone:971-421-3839
Mailing Address - Fax:
Practice Address - Street 1:366 S BROADWAY ST STE 210
Practice Address - Street 2:
Practice Address - City:ESTACADA
Practice Address - State:OR
Practice Address - Zip Code:97023-7000
Practice Address - Country:US
Practice Address - Phone:971-421-3839
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-31
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORR7561101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional