Individual
MR. ATTICUS CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2400 MOORPARK AVENUE 316B, SAN JOSE, CA 95128
(408) 885-7587
Mailing address
2400 MOORPARK AVENUE 316B, SAN JOSE, CA 95128
(408) 885-7587
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
LCS 26042
CA
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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