Individual
VICTORIA TANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 NICOLET AVE, FREMONT, CA 94536-3536
(510) 797-5940
Mailing address
3400 NICOLET AVE, FREMONT, CA 94536-3536
(510) 797-5940
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
230191986
CA
106H00000X
Marriage & Family Therapist
149300
CA
Other
Enumeration date
10/08/2014
Last updated
10/10/2024
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