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Organization
ELEVATE COUNSELING CENTER, LLC
Active
Organization
ELEVATE COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH ANN LICURSE MFT, M.A. (OWNER/ DIRECTOR)
(408) 288-5767
Entity
Organization
Contact information
Practice address
1588 HOMESTEAD RD MIB 5, SANTA CLARA, CA 95050-4783
(408) 288-4767
(408) 249-2291
Mailing address
1588 HOMESTEAD RD MIB 5, SANTA CLARA, CA 95050-4783
(408) 288-4767
(408) 249-2291
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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