Individual
CHRISTOPHER MOSES HENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
290 LOOF AVE, GILROY, CA 95020
(408) 846-2100
Mailing address
290 LOOF AVE, GILROY, CA 95020
(408) 846-2100
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC15614
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2022
Last updated
01/19/2024
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