| Christian Counseling Center-san Jose | |
|
3880 S Bascom Ave Ste 202 San Jose CA 95124-2675 | |
| (408) 559-1115 | |
| (408) 371-9193 |
| Full Name | Christian Counseling Center-san Jose |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3880 S Bascom Ave Ste 202, San Jose, California |
| Authorized Official Name and Position | Tina Engel (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4085591115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Counseling Center-san Jose 3880 S Bascom Ave Ste 202 San Jose CA 95124-2675 Ph: (408) 559-1115 | Christian Counseling Center-san Jose 3880 S Bascom Ave Ste 202 San Jose CA 95124-2675 Ph: (408) 559-1115 |
| NPI Number | 1669087912 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 09/14/2020 |
| Certification Date | 09/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669087912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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