Organization
JUDY DE LEON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JUDY DE LEON LMFT (MARRIAGE FAMILY THERAPIST)
(408) 595-5258
Entity
Organization
Contact information
Practice address
3425 S BASCOM AVE, SUITE F, CAMPBELL, CA 95008-7300
(408) 595-5258
Mailing address
3425 S BASCOM AVE, SUITE F, CAMPBELL, CA 95008-7300
(408) 595-5258
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFC 41569
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043388598
GARDNER FA MILY CARE CORP.
CA
Enumeration date
06/20/2008
Last updated
06/20/2008
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