Individual
MS. COLETTE SIMONE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED./M.A.
Contact information
Practice address
237 RACE ST, SAN JOSE, CA 95126-4823
(408) 510-3480
Mailing address
2850 MIDDLEFIELD RD, APT. 310, PALO ALTO, CA 94306-2512
(219) 218-5563
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/11/2014
Last updated
08/11/2014
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