Individual
ERYKAH BAZILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
499 LOMA ALTA AVE, LOS GATOS, CA 95030-6227
(408) 364-4157
Mailing address
380 E SAN SALVADOR ST APT 205, SAN JOSE, CA 95112-3633
(916) 519-4437
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC19152
CA
Other
Enumeration date
01/19/2023
Last updated
04/10/2025
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