Healthcare Provider Details

I. General information

NPI: 1184425829
Provider Name (Legal Business Name): NICHOL DAO LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2025
Last Update Date: 03/20/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6461 OBERLIN WAY
SAN JOSE CA
95123-5615
US

IV. Provider business mailing address

6461 OBERLIN WAY
SAN JOSE CA
95123-5615
US

V. Phone/Fax

Practice location:
  • Phone: 408-628-2545
  • Fax:
Mailing address:
  • Phone: 408-628-2545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number43941
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: