Provider Demographics
NPI:1588139240
Name:CALVIN, RHONDA SHIRELL (LMFT)
Entity type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:SHIRELL
Last Name:CALVIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13405 FOLSOM BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-4738
Mailing Address - Country:US
Mailing Address - Phone:916-367-0599
Mailing Address - Fax:916-357-5964
Practice Address - Street 1:8618 SHADOW CREST CIR
Practice Address - Street 2:
Practice Address - City:ANTELOPE
Practice Address - State:CA
Practice Address - Zip Code:95843-5417
Practice Address - Country:US
Practice Address - Phone:916-410-5840
Practice Address - Fax:916-721-5946
Is Sole Proprietor?:No
Enumeration Date:2018-10-09
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT108974106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist