Individual
MS. AMES MARY THERESE SABELLANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 S 11TH ST, SAN JOSE, CA 95112-2132
(408) 998-5191
(408) 279-1930
Mailing address
102 S 11TH ST, SAN JOSE, CA 95112-2132
(408) 998-5191
(408) 279-1930
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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