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Organization
SACKETT AFFILIATES
Active
Organization
SACKETT AFFILIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN SACKETT PH.D. (PRESIDENT/PSYCHOLOGIST)
(408) 257-6662
Entity
Organization
Contact information
Practice address
1745 SARATOGA AVE, SUITE 203, SAN JOSE, CA 95129-5201
(408) 257-6662
Mailing address
1745 SARATOGA AVE, SUITE 203, SAN JOSE, CA 95129-5201
(408) 257-6662
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY18785
CA
106H00000X
Marriage & Family Therapist
33627
CA
Other
Enumeration date
05/14/2008
Last updated
05/15/2008
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