person
Osvaldo I Miranda Medina
Counselor in San Jose, California
NPI 1043952260

Osvaldo I Miranda Medina is a Counselor based in San Jose, CA. Osvaldo I Miranda Medina practices in San Jose, CA. The NPI Number for Osvaldo I Miranda Medina is 1043952260 and holds a License No. 101Y00000X (California).

The current practice location address for Osvaldo I Miranda Medina is 1185 Pedro St, San Jose, CA and can be reached out via phone at 510-963-0986.

Location: 1185 Pedro St, San Jose, CA, 95123-6108
person
Provider Profile Details
NPI Number
1043952260
Provider Name
Osvaldo I Miranda Medina
Credential
Provider Entity Type
Individual
Gender
Male
Address
1185 Pedro St, San Jose, CA, 95123-6108
Phone Number
510-963-0986
Fax Number
Provider Enumeration Date
04/08/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1185 Pedro St
City
State
Zip
95126-3757
Phone Number
510-963-0986
Fax Number
person
Provider Business Mailing Address Details
Address
1185 Pedro St
City
State
Zip
95126-3757
Phone Number
510-963-0986
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
101Y00000X ()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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