Individual
ARIEL UPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 E SANTA CLARA ST, SAN JOSE, CA 95113-1936
(669) 245-3429
Mailing address
425 E SANTA CLARA ST, SAN JOSE, CA 95113-1936
(669) 245-3429
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
MPSS-ZBTQFX
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
08/23/2022
Last updated
06/24/2025
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