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General NPI Number Information
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NPI Number | 1376902114
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Entity Type | Organization
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Legal Business Name | ALUM ROCK COUNSELING CENTER, INC.
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Dates
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Enumeration Date | 02/22/2016
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Last Update Date | 07/26/2024
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Provider Practice Location Address
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Address Line | 2800 OCALA AVE
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City | SAN JOSE
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State | CA
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Zip | 95148-1114
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Country | US
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Telephone | 408-240-0070
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Fax |
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Provider Business Mailing Address
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Address Line | 1245 E SANTA CLARA ST
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City | SAN JOSE
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State | CA
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Zip | 95116-2337
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Country | US
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Telephone | 408-240-0070
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Fax |
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Authorized Official
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Title or Position | COO
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Name | VERONICA MELGOZA GAMBOA
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Credential | LMFT
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Telephone | 408-771-1734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | CA
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