| Doctor Name: | MRS. BERNICE RAEANN CALHOUN |
| NPI Number: | 1376796722 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW, ACADC |
| License Number: | 28600 |
| Business Practice Address: | 112 12th Ave Rd Nampa, ID - 836865011 |
| Business Phone Number: | 2084655433 |
| Business Fax Number: | 2084665802 |
| Mailing Address: | 1475 Condor Drive, MIDDLETON |
| State: | ID |
| Postal Code: | 83644 |
| Phone Number: | 2087409476 |
| Fax Number: | |
| NPI Enumeration Date: | 10/29/2008 |
| NPI Last Update Date: | 11/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 28600 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |