Most Relevant Information
Provider Data
| NPI Number: | 1003665340 |
| Provider Name: | JAMES SAM CALDERHEAD MA |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 9935 |
Most Important Dates
| Enumeration Date: | 05/17/2024 |
| Last Updated: | 05/17/2024 |
Provider Practice Location
5966 N BAGLEY AVE
BOISE
ID
837036104
Practice Location Phone/Fax
| Phone: | 2086312040 |
| Fax: |
Provider Mailing Location
5966 N BAGLEY AVE
BOISE
ID
837036104
Provider Mailing Phone/Fax
| Phone: | 2086312040 |
| Fax: |