Healthcare Provider Details

I. General information

NPI: 1962950162
Provider Name (Legal Business Name): CRISTINA VALENTINE ALDAMA CADC-L, #CI3224032
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CRISTINA VALENTINE ALDAMA

II. Dates (important events)

Enumeration Date: 09/15/2016
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1340 TULLY RD
SAN JOSE CA
95122-3055
US

IV. Provider business mailing address

1340 TULLY RD
SAN JOSE CA
95122-3055
US

V. Phone/Fax

Practice location:
  • Phone: 408-981-8565
  • Fax:
Mailing address:
  • Phone: 408-981-8565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCI32240321
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: