NPI 1003665340

James Sam Calderhead, MA

Practitioner Marriage & Family Therapist Boise, ID

Practice location

Address: 5966 N Bagley Ave, Boise, ID 83703-6104
Phone: (208) 631-2040

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 9935 (ID)

Other Marriage & Family Therapist providers in Idaho →

Registry record

NPI: 1003665340
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 May 2024
Record last updated: 17 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.