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Marta Mccormack
Addiction (Substance Use Disorder) Counselor in San Jose, California
NPI 1073935102

Marta Mccormack is an Addiction (Substance Use Disorder) Counselor based in San Jose, CA and is specialized in Addiction (Substance Use Disorder). Marta Mccormack practices in San Jose, CA. The NPI Number for Marta Mccormack is 1073935102 and holds a License No. 4301 (California).

The current practice location address for Marta Mccormack is 2425 Enborg Ln, San Jose, CA and can be reached out via phone at 408-885-5400.

Location: 2425 Enborg Ln, San Jose, CA, 95128-2648
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073935102
Provider Name
Marta Mccormack
Credential
Provider Entity Type
Individual
Gender
Female
Address
2425 Enborg Ln, San Jose, CA, 95128-2648
Phone Number
408-885-5400
Fax Number
Provider Enumeration Date
01/08/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2425 Enborg Ln
City
San Jose
State
California
Zip
95128-2648
Phone Number
408-885-5400
Fax Number
person
Provider Business Mailing Address Details
Address
2425 Enborg Ln
City
San Jose
State
California
Zip
95128-2648
Phone Number
408-885-5400
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
4301 (California)
Definition
Definition to come...
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