Doctor Name: | MR. THOMAS JOHN CALABRESE |
NPI Number: | 1023046117 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | PC001845 |
Business Practice Address: | 4402 Peach St Erie, PA - 165091358 |
Business Phone Number: | 8148660905 |
Business Fax Number: | 8148660905 |
Mailing Address: | 1125 Aris Dr, ERIE |
State: | PA |
Postal Code: | 165051211 |
Phone Number: | 8148388878 |
Fax Number: | |
NPI Enumeration Date: | 06/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC001845 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |