Individual
CYNTHIA VIVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 MOORPARK AVE STE 300, SAN JOSE, CA 95128-2680
(408) 975-2730
Mailing address
2400 MOORPARK AVE STE 300, SAN JOSE, CA 95128-2680
(408) 975-2730
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
LCSW93194
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42295
SANTA CLARA COUNTY ID #
CA
Enumeration date
06/15/2007
Last updated
04/29/2020
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