Provider Demographics
NPI:1558234807
Name:CALDERIN MARQUEZ, JOHANA (LMHC)
Entity type:Individual
Prefix:
First Name:JOHANA
Middle Name:
Last Name:CALDERIN MARQUEZ
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3730 NE 16TH PL
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-8401
Mailing Address - Country:US
Mailing Address - Phone:239-244-5098
Mailing Address - Fax:
Practice Address - Street 1:3730 NE 16TH PL
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-8401
Practice Address - Country:US
Practice Address - Phone:239-244-5098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH20911101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health