Individual
ALEJANDRA VACA-PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
290 IOOF AVE, GILROY, CA 95020-5204
(408) 846-2100
(408) 842-8815
Mailing address
290 IOOF AVE, GILROY, CA 95020-5204
(408) 846-2100
(408) 842-8815
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
36752
CA
101YM0800X
Mental Health Counselor
36752
CA
104100000X
Social Worker
36752
CA
1041C0700X
Clinical Social Worker
Primary
87405
CA
Other
Enumeration date
07/02/2013
Last updated
02/11/2019
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