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NPI Code Detail

MEDICARE: DELORES CHRISTINA SPRINGS BA, MA, MHRS

MEDICARE:   DELORES CHRISTINA SPRINGS  BA, MA, MHRS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2101YM0800XMental Health Counselor

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13515OTHERCACOUNTY IDENTIFICATION

General Provider Information

NPI Number : 1922176007
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELORES CHRISTINA SPRINGS BA, MA, MHRS
Provider Business Mailing Address
First Line : 3031 TISCH WAY STE 306
Second Line :
City : SAN JOSE
State : CA
Zip : 95128-2530
Country : US
Telephone Number : 408-835-4568
Fax Number : 408-554-4209
Provider Business Practice Location Address
First Line : 3031 TISCH WAY STE 306
Second Line :
City : SAN JOSE
State : CA
Zip : 95128-2530
Country : US
Telephone Number : 408-835-4568
Fax Number : 408-554-4209
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2006
Last Update Date : 11/18/2011

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Directions to “ DELORES CHRISTINA SPRINGS BA, MA, MHRS” Practice Location

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