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Organization

EASTERN EUROPEAN SERVICE AGENCY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SONJA REED CVITANICH (EXECUTIVE DIRECTOR)
(408) 271-0277
Entity
Organization

Contact information

Practice address
2400 MOORPARK AVE STE 207, SAN JOSE, CA 95128-2624
(408) 297-7348
(408) 297-7354
Mailing address
2400 MOORPARK AVE STE 207, SAN JOSE, CA 95128-2624
(408) 297-7348
(408) 297-7354

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
103TC0700X
Clinical Psychologist
103TC1900X
Counseling Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
103TF0000X
Family Psychologist
Primary
103TP2701X
Group Psychotherapy Psychologist
104100000X
Social Worker
251B00000X
Case Management Agency

Other

Enumeration date
08/10/2006
Last updated
09/11/2025
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