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Organization
WILLOW ANXIETY AND OCD
Active
Organization
WILLOW ANXIETY AND OCD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFREDO PEREZ (OFFICE ADMINISTRATOR)
(408) 475-1665
Entity
Organization
Contact information
Practice address
1900 THE ALAMEDA, SUITE 610/630, SAN JOSE, CA 95126-1404
(408) 475-1665
Mailing address
1900 THE ALAMEDA, SUITE 610/630, SAN JOSE, CA 95126-1404
(408) 475-1665
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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