Individual
CARISSE CRONQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6315 CESSNA CT, SAN JOSE, CA 95123-4804
(408) 207-3004
Mailing address
6315 CESSNA CT, SAN JOSE, CA 95123-4804
(408) 207-3004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/15/2016
Last updated
01/15/2016
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