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NPI Code Detail

MEDICARE: ANGELA CALCAGNO MA, LMFT

MEDICARE: ANGELA CALCAGNO MA, LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist131237CA

General Provider Information

NPI Number : 1235842394
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA CALCAGNO MA, LMFT
Provider Business Mailing Address
First Line : 9 CROW CANYON CT STE 100
Second Line :
City : SAN RAMON
State : CA
Zip : 94583-1682
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9 CROW CANYON CT STE 100
Second Line :
City : SAN RAMON
State : CA
Zip : 94583-1682
Country : US
Telephone Number : 925-980-1730
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2023
Last Update Date : 01/03/2023

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