Individual
CAROLINA CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 N 1ST ST, SAN JOSE, CA 95112-6337
(408) 364-8363
Mailing address
777 N 1ST ST, SAN JOSE, CA 95112-6337
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/20/2010
Last updated
09/30/2012
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