Individual
SHIRLEY MESIAS INTERIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
499 LOMA ALTA AVE, LOS GATOS, CA 95030-6227
(408) 425-5713
Mailing address
700 FREDERICK ST STE 103, SANTA CRUZ, CA 95062-2239
(831) 996-1222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
APCC18554
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2024
Last updated
12/02/2025
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