Organization
BILL WILSON CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN KOACH (DIR. OF ADMINISTRATION)
(408) 243-0222
Entity
Organization
Contact information
Practice address
1671 THE ALAMEDA #201, SAN JOSE, CA 95126
(408) 243-0222
Mailing address
1671 THE ALAMEDA #201, SAN JOSE, CA 95126
(408) 243-0222
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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