| Janet Johnston-tyler | |
|
4655 Old Ironsides Dr. Suite 170 Santa Clara CA 95054 | |
| (408) 735-7990 | |
| (888) 735-7991 |
| Full Name | Janet Johnston-tyler |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4655 Old Ironsides Dr., Santa Clara, California |
| Authorized Official Name and Position | Janet Johnston-tyler (OWNER/FOUNDER) |
| Authorized Official Contact | 4087357990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Janet Johnston-tyler 4655 Old Ironsides Dr Ste 170 Santa Clara CA 95054-1853 Ph: (408) 735-7990 | Janet Johnston-tyler 4655 Old Ironsides Dr. Suite 170 Santa Clara CA 95054 Ph: (408) 735-7990 |
| NPI Number | 1275001679 |
|---|---|
| Provider Enumeration Date | 11/05/2018 |
| Last Update Date | 02/24/2020 |
| Certification Date | 02/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275001679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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