| Little Spirits Bay Area Licensed Professional Clinical Counslor | |
|
77 N Almaden Ave 104 San Jose CA 95110-2799 | |
| (408) 320-4997 | |
| Not Available |
| Full Name | Little Spirits Bay Area Licensed Professional Clinical Counslor |
|---|---|
| Speciality | Counselor - Professional |
| Location | 77 N Almaden Ave, San Jose, California |
| Authorized Official Name and Position | Renee Dumond (OWNER) |
| Authorized Official Contact | 4083204997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Spirits Bay Area Licensed Professional Clinical Counslor 77 N Almaden Ave 104 San Jose CA 95110-2799 Ph: (408) 320-4997 | Little Spirits Bay Area Licensed Professional Clinical Counslor 77 N Almaden Ave 104 San Jose CA 95110-2799 Ph: (408) 320-4997 |
| NPI Number | 1598127342 |
|---|---|
| Provider Enumeration Date | 03/22/2016 |
| Last Update Date | 03/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598127342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPCC2456 (California) | Primary |
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