Individual
BRIAN J REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1555 PARKMOOR AVE, SAN JOSE, CA 95128-2407
(408) 284-2850
(408) 284-0400
Mailing address
1555 PARKMOOR AVE, SAN JOSE, CA 95128-2407
(408) 284-2850
(408) 284-0400
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
ACSW104543
CA
1041C0700X
Clinical Social Worker
Primary
126320
CA
Other
Enumeration date
09/08/2021
Last updated
10/01/2024
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