Organization
MONTEREY INSTITUTE LICENSED CLINICAL SOCIAL WORKER, INC.
Active
Parent organization
MONTEREY INSTITUTE LICENSED CLINICAL SOCIAL WORKER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONTEREY INSTITUTE LICENSED CLINICAL SOCIAL WORKER, INC.
Authorized official
MARY BETH PURI LPCC (DIRECTOR OF OPERATIONS)
(208) 250-2724
Entity
Organization
Contact information
Practice address
79 DEVINE ST, SAN JOSE, CA 95110-2483
(408) 217-0880
(408) 831-9441
Mailing address
574 CORTES ST, MONTEREY, CA 93940-3242
(831) 747-4254
(831) 373-3821
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2026
Last updated
07/10/2026
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