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1865 Winchester Blvd Ste 200 Campbell CA 95008-1110 | |
| (408) 357-3155 | |
| (408) 963-6133 |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1865 Winchester Blvd Ste 200, Campbell, California |
| Authorized Official Name and Position | Lilian Alfaro Cavlan (OWNER) |
| Authorized Official Contact | 4083573155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1865 Winchester Blvd Ste 200 Campbell CA 95008-1110 Ph: (408) 357-3155 | 1865 Winchester Blvd Ste 200 Campbell CA 95008-1110 Ph: (408) 357-3155 |
| NPI Number | 1134880073 |
|---|---|
| Provider Enumeration Date | 01/03/2022 |
| Last Update Date | 03/28/2023 |
| Certification Date | 03/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134880073 | NPI | - | NPPES |
| 1437451036 | Other | CA | LILIAN ALFARO CAVLAN |
| 1477182954 | Other | CA | SYLVIA RODRIGUEZ |
| 1528676137 | Other | CA | ANTHONY MCDONALD |
| 1528399516 | Other | CA | STACY SCHWAGER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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