Healthcare Provider Details

I. General information

NPI: 1336076561
Provider Name (Legal Business Name): SUMANA DUGAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4850 UNION AVE OFC 105
SAN JOSE CA
95124-5156
US

IV. Provider business mailing address

4850 UNION AVE OFC 105
SAN JOSE CA
95124-5156
US

V. Phone/Fax

Practice location:
  • Phone: 408-559-3403
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number22298
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number162782
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: