| Alum Rock Counseling Center, Inc. | |
|
277 Mahoney Dr San Jose CA 95127-3547 | |
| (408) 240-0070 | |
| Not Available |
| Full Name | Alum Rock Counseling Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 277 Mahoney Dr, San Jose, California |
| Authorized Official Name and Position | Veronica Melgoza Gamboa (COO) |
| Authorized Official Contact | 4087711734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alum Rock Counseling Center, Inc. 1245 E Santa Clara St San Jose CA 95116-2337 Ph: (408) 240-0070 | Alum Rock Counseling Center, Inc. 277 Mahoney Dr San Jose CA 95127-3547 Ph: (408) 240-0070 |
| NPI Number | 1003277559 |
|---|---|
| Provider Enumeration Date | 03/11/2016 |
| Last Update Date | 07/29/2024 |
| Certification Date | 07/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003277559 | NPI | - | NPPES |
| 1215268388 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (California) | Primary |
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