Integrated Therapy And Recovery Inc | |
3880 S Bascom Ave Ste 216 San Jose CA 95124-2675 | |
(408) 458-6404 | |
Not Available |
Full Name | Integrated Therapy And Recovery Inc |
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Speciality | Marriage & Family Therapist |
Location | 3880 S Bascom Ave Ste 216, San Jose, California |
Authorized Official Name and Position | Alex Lerza (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 4084586406 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Integrated Therapy And Recovery Inc 12030 Donner Pass Rd Ste 1-433 Truckee CA 96161-0449 Ph: (408) 458-6406 | Integrated Therapy And Recovery Inc 3880 S Bascom Ave Ste 216 San Jose CA 95124-2675 Ph: (408) 458-6404 |
NPI Number | 1598478067 |
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Provider Enumeration Date | 12/29/2022 |
Last Update Date | 12/29/2022 |
Certification Date | 12/29/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598478067 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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