Individual
CARRIE LORRAINE DEANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 MARGARET ST, SAN JOSE, CA 95112-5828
(408) 278-2537
Mailing address
10 MARGARET ST, SAN JOSE, CA 95112-5828
(408) 278-2537
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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