| Kambria Evans Psychotherapy, Pc | |
|
2155 S. Bascom Avenue, Suite 212 Campbell CA 95008-3279 | |
| (408) 769-5739 | |
| Not Available |
| Full Name | Kambria Evans Psychotherapy, Pc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2155 S. Bascom Avenue, Suite 212, Campbell, California |
| Authorized Official Name and Position | Kambria Evans (OWNER) |
| Authorized Official Contact | 4087695739 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kambria Evans Psychotherapy, Pc 2155 S. Bascom Avenue, Suite 212 Campbell CA 95008 Ph: (408) 769-5739 | Kambria Evans Psychotherapy, Pc 2155 S. Bascom Avenue, Suite 212 Campbell CA 95008-3279 Ph: (408) 769-5739 |
| NPI Number | 1417421504 |
|---|---|
| Provider Enumeration Date | 01/11/2019 |
| Last Update Date | 01/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417421504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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