person
Alyssa Bianconi Momtaheni, AMFT,APCC
Mental Health Counselor in San Jose, California
NPI 1114569654

Alyssa Bianconi Momtaheni is a Mental Health Counselor based in San Jose, CA and is specialized in Mental Health. Alyssa Bianconi Momtaheni practices in San Jose, CA and has the professional credentials of AMFT,APCC. The NPI Number for Alyssa Bianconi Momtaheni is 1114569654 and holds a License No. (California).

The current practice location address for Alyssa Bianconi Momtaheni is 777 N 1St St Ste 220, San Jose, CA and can be reached out via phone at 510-902-9121 and via fax at 408-293-1000.

Location: 777 N 1St St Ste 220, San Jose, CA, 95112-6352
person
Provider Profile Details
NPI Number
1114569654
Provider Name
Alyssa Bianconi Momtaheni
Credential
AMFT,APCC
Provider Entity Type
Individual
Gender
Female
Address
777 N 1St St Ste 220, San Jose, CA, 95112-6352
Phone Number
510-902-9121
Fax Number
408-293-1000
Provider Enumeration Date
10/16/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
942581686 01 CA COUNTY
institution
Provider Business Practice Location Address Details
Address
777 N 1St St Ste 220
City
State
Zip
95112-6352
Phone Number
510-902-9121
Fax Number
408-293-1000
person
Provider Business Mailing Address Details
Address
777 N 1St St Ste 220
City
State
Zip
95112-6352
Phone Number
510-902-9121
Fax Number
408-293-1000
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
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Definition
Definition to come...
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