person
Miss Marina Pereverzeva
Addiction (Substance Use Disorder) Counselor in San Jose, California
NPI 1053043802

Marina Pereverzeva is an Addiction (Substance Use Disorder) Counselor based in San Jose, CA and is specialized in Addiction (Substance Use Disorder). Marina Pereverzeva practices in San Jose, CA. The NPI Number for Marina Pereverzeva is 1053043802 and holds a License No. R1485070922 (California).

The current practice location address for Marina Pereverzeva is 160 E Virginia St Ste 100, San Jose, CA and can be reached out via phone at 408-938-2113 and via fax at 408-579-6143.

Location: 160 E Virginia St Ste 100, San Jose, CA, 95112-5865
person
Provider Profile Details
NPI Number
1053043802
Provider Name
Marina Pereverzeva
Credential
Provider Entity Type
Individual
Gender
Female
Address
160 E Virginia St Ste 100, San Jose, CA, 95112-5865
Phone Number
408-938-2113
Fax Number
408-579-6143
Provider Enumeration Date
06/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
160 E Virginia St Ste 100
City
State
Zip
95112-5865
Phone Number
408-938-2113
Fax Number
408-579-6143
person
Provider Business Mailing Address Details
Address
160 E Virginia St Ste 100
City
State
Zip
95112-5865
Phone Number
408-938-2113
Fax Number
408-579-6143
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1485070922 (California)
Definition
Definition to come...
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