Provider Demographics
NPI:1336436641
Name:CALDERA, CHLOE CHRISTINA (LCPC)
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:CHRISTINA
Last Name:CALDERA
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 HOUSTON ST
Mailing Address - Street 2:SUITE 126
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-1980
Mailing Address - Country:US
Mailing Address - Phone:312-964-0973
Mailing Address - Fax:
Practice Address - Street 1:201 HOUSTON ST
Practice Address - Street 2:SUITE 126
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-1980
Practice Address - Country:US
Practice Address - Phone:312-964-0973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-07
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180010471101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional