Provider Demographics
NPI:1588327746
Name:GIAIMO, CALOGERO (MFT)
Entity type:Individual
Prefix:
First Name:CALOGERO
Middle Name:
Last Name:GIAIMO
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:CALOGERO
Other - Middle Name:
Other - Last Name:GIAIMO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MFT
Mailing Address - Street 1:PO BOX 1215
Mailing Address - Street 2:
Mailing Address - City:CAPITOLA
Mailing Address - State:CA
Mailing Address - Zip Code:95010-1215
Mailing Address - Country:US
Mailing Address - Phone:831-332-2177
Mailing Address - Fax:
Practice Address - Street 1:35 MAGNIFICO VITA LN
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-0385
Practice Address - Country:US
Practice Address - Phone:831-332-2177
Practice Address - Fax:831-332-2177
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-14
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9562106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist