Individual
CARL BLEISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
614 TULLY RD, SAN JOSE, CA 95111-1048
(408) 494-1651
Mailing address
614 TULLY RD, SAN JOSE, CA 95111-1048
(408) 494-1651
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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