Healthcare Provider Details

I. General information

NPI: 1912190877
Provider Name (Legal Business Name): SHIHWEI HO LI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHIHWEI HO

II. Dates (important events)

Enumeration Date: 08/23/2007
Last Update Date: 12/19/2019
Certification Date: 12/19/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

591 N KING RD STE 3
SAN JOSE CA
95133-1661
US

IV. Provider business mailing address

591 N KING RD STE 3
SAN JOSE CA
95133-1661
US

V. Phone/Fax

Practice location:
  • Phone: 408-793-8869
  • Fax:
Mailing address:
  • Phone: 408-793-8869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLMFT92442
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: