Individual
ANGELA CONGDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1190 S BASCOM AVE, SUITE 130, SAN JOSE, CA 95128-3545
(408) 234-1405
Mailing address
1190 S BASCOM AVE, SUITE 130, SAN JOSE, CA 95128-3545
(408) 234-1405
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
49930
CA
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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