Individual
SHAMBHAVI KERUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 E. VIRGINIA ST, SUITE 100, SAN JOSE, CA 95112-5817
(408) 938-2113
(408) 579-6143
Mailing address
160 E. VIRGINIA ST, SUITE 100, SAN JOSE, CA 95112-5817
(408) 938-2113
(408) 579-6143
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1541000124
CA
101YP2500X
Professional Counselor
Primary
APCC16951
CA
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2023
Last updated
07/12/2024
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