Provider Demographics
NPI:1962293852
Name:CALDERON, JASMIN (LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:JASMIN
Middle Name:
Last Name:CALDERON
Suffix:
Gender:F
Credentials:LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5899 PRESTON RD STE 601
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-9591
Mailing Address - Country:US
Mailing Address - Phone:469-209-4014
Mailing Address - Fax:469-249-1307
Practice Address - Street 1:5899 PRESTON RD STE 601
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9591
Practice Address - Country:US
Practice Address - Phone:469-209-4014
Practice Address - Fax:469-249-1307
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93882101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor