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Organization
BRAIN MIND WELLNESS PROFESSIONAL CLINICAL COUNSELORS INC.
Active
Organization
BRAIN MIND WELLNESS PROFESSIONAL CLINICAL COUNSELORS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIINA NOVAK (CEO)
(408) 583-5099
Entity
Organization
Contact information
Practice address
1101 S WINCHESTER BLVD STE A103, SAN JOSE, CA 95128-3914
(408) 583-5099
Mailing address
1101 S WINCHESTER BLVD STE A103, SAN JOSE, CA 95128-3914
(408) 583-5099
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
09/09/2026
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