Organization
EVERGREEN PSYCHOTHERAPY APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKANKSHA SRIVASTAV (CHIEF EXECUTIVE OFFICER)
(669) 282-7234
Entity
Organization
Contact information
Practice address
1580 W EL CAMINO REAL STE 2, MOUNTAIN VIEW, CA 94040-2461
(740) 707-0488
Mailing address
1030 E EL CAMINO REAL # 362, SUNNYVALE, CA 94087-3759
(740) 707-0488
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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