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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