Individual
WIKTOR JEZNACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1150 S KING RD # 152, SAN JOSE, CA 95122-2139
(408) 622-9222
Mailing address
1150 S KING RD # 152, SAN JOSE, CA 95122-2139
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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