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Tai Lai
Addiction (Substance Use Disorder) Counselor in San Jose, California
NPI 1114347887

Tai Lai is an Addiction (Substance Use Disorder) Counselor based in San Jose, CA and is specialized in Addiction (Substance Use Disorder). Tai Lai practices in San Jose, CA. The NPI Number for Tai Lai is 1114347887 and holds a License No. (California).

The current practice location address for Tai Lai is 102 South 11 Street, San Jose, CA and can be reached out via phone at 408-998-5191.

Location: 102 South 11 Street, San Jose, CA, 95112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114347887
Provider Name
Tai Lai
Credential
Provider Entity Type
Individual
Gender
Male
Address
102 South 11 Street, San Jose, CA, 95112
Phone Number
408-998-5191
Fax Number
Provider Enumeration Date
04/22/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
102 South 11 Street
City
San Jose
State
California
Zip
95112
Phone Number
408-998-5191
Fax Number
person
Provider Business Mailing Address Details
Address
102 South 11 Street
City
San Jose
State
California
Zip
95112
Phone Number
408-998-5191
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.
()
Definition
Definition to come...
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