Individual provider · Type 1 NPI

Jeffrey Calderon Soto Sr., LPC

Mental Health Counselor · Sandpoint, ID

NPI number 1912790080 Active

Practice location

1033 Baldy Mountain Rd
Sandpoint, ID 83864-9202

Mailing address

2416 Sand Creek Ln Apt A
Sandpoint, ID 83864-8934

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X3171665 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1912790080

Jeffrey Calderon Soto Sr., LPC's National Provider Identifier is 1912790080, issued on May 22, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sandpoint, ID. The record was last updated on May 22, 2025.