Individual
JOHN OLIVER YCARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 SAN MATEO AVE, LOS GATOS, CA 95030-4321
(408) 351-0422
Mailing address
15931 FOREST HILL DR., BOULDER CREEK, CA 95006
(408) 393-2875
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC9132
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
PRIVATE PRACTICE
—
Enumeration date
03/07/2022
Last updated
01/19/2024
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