Individual
BONNIE BIRGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2218 N 1ST ST, SAN JOSE, CA 95131-2007
(408) 538-0886
Mailing address
935 SCOTT CT, CAMPBELL, CA 95008-6430
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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