Individual
MRS. ROSHIN KADUTHANATHU ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, LAADC
Contact information
Practice address
158 TERALBA CT, SAN JOSE, CA 95139
(714) 757-1177
Mailing address
158 TERALBA CT, SAN JOSE, CA 95139
(714) 757-1177
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LR0150315
CA
101YP2500X
Professional Counselor
Primary
LPCC7974
CA
106H00000X
Marriage & Family Therapist
LPCC7974
CA
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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