Healthcare Provider Details

I. General information

NPI: 1790626778
Provider Name (Legal Business Name): CHRISTINE MCCLEVE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9505 MALECH DR
SAN JOSE CA
95138-2002
US

IV. Provider business mailing address

1736 LAURENTIAN WAY
SUNNYVALE CA
94087-5233
US

V. Phone/Fax

Practice location:
  • Phone: 408-281-6570
  • Fax: 408-281-6564
Mailing address:
  • Phone: 408-261-7777
  • Fax: 408-642-6052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: