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Individual

STARLET MONTENEGRO-BALOT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
2625 ZANKER RD, SAN JOSE, CA 95134-2130
(408) 468-0100
Mailing address
6103 BAVA CT, SAN JOSE, CA 95123-5009
(408) 712-0941

Taxonomy

Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary

Other

Enumeration date
05/18/2023
Last updated
06/10/2025
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