Individual
JIAXI SHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1245 S WINCHESTER BLVD STE 110, SAN JOSE, CA 95128-3908
(925) 282-1778
Mailing address
1245 S WINCHESTER BLVD STE 110, SAN JOSE, CA 95128-3908
(925) 282-1778
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
19266
CA
101YM0800X
Mental Health Counselor
P124028
NY
101YP2500X
Professional Counselor
Primary
19266
CA
Other
Enumeration date
09/06/2023
Last updated
05/05/2025
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