Healthcare Provider Details

I. General information

NPI: 1225571128
Provider Name (Legal Business Name): JOHN STEPHEN CALEF LPCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/24/2016
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 CAMINO JUSTICIA
SANTA FE NM
87508-8500
US

IV. Provider business mailing address

28 CAMINO JUSTICIA
SANTA FE NM
87508-8500
US

V. Phone/Fax

Practice location:
  • Phone: 505-428-3207
  • Fax:
Mailing address:
  • Phone: 505-428-3207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCTB-2024-0607
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: