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Individual

ALYSSA N THOMPSON TOLOSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
32 RYLAND PARK DR, SAN JOSE, CA 95110-2249
(408) 608-8063
Mailing address
99 ALMADEN BLVD, SAN JOSE, CA 95113-1610
(408) 608-8063

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88565
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
88565
LCSW LICENSE NUMBER
CA
Enumeration date
02/10/2020
Last updated
12/18/2023
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