Individual
SIMARDEEP BHAURLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
4139 EL CAMINO WAY, PALO ALTO, CA 94306-4010
(650) 484-1376
Mailing address
1922 THE ALAMEDA, SAN JOSE, CA 95126-1457
(650) 484-1376
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N05293
MEDICAL
—
Enumeration date
06/04/2018
Last updated
09/20/2023
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