Individual
ALIDA THAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
160 E VIRGINIA ST STE 280, SAN JOSE, CA 95112-5817
(408) 938-2113
(408) 579-6143
Mailing address
160 E VIRGINIA ST STE 280, SAN JOSE, CA 95112-5817
(408) 938-2113
(408) 579-6143
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
07/28/2023
Last updated
06/04/2025
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