Individual
CARISSA M VENTOSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
298 BERNAL RD, SAN JOSE, CA 95119-1809
(408) 638-4744
Mailing address
298 BERNAL RD, SAN JOSE, CA 95119-1809
(408) 551-8841
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CA
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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