Organization
ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT
Active
Organization
ASIAN AMERICANS FOR COMMUNITY INVOLVEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANNE GILLESPIE ED.D. (CLINICAL SUPERVISOR)
(408) 975-2730
Entity
Organization
Contact information
Practice address
2400 MOORPARK AVE, SAN JOSE, CA 95128-2631
(408) 975-2730
Mailing address
2400 MOORPARK AVE, SAN JOSE, CA 95128-2631
(408) 975-2730
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY18253
CA
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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