MEDICARE: SUMMER D CALDERON LPC

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
1	101YP2500X	Professional Counselor	LPC-19871	AZ

General Provider Information

NPI Number	:	1841826559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUMMER D CALDERON LPC

Provider Business Mailing Address
First Line	:	8987 E TANQUE VERDE RD STE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85749-9399
Country	:	US
Telephone Number	:	520-222-9049
Fax Number	:

Provider Business Practice Location Address
First Line	:	8987 E TANQUE VERDE RD STE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85749-9399
Country	:	US
Telephone Number	:	520-222-9049
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2020
Last Update Date	:	05/08/2026

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Directions to “ SUMMER D CALDERON LPC” Practice Location

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