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Mr. Russell Ja
Mental Health Counselor in San Jose, California
NPI 1215421516

Russell Ja is a Mental Health Counselor based in San Jose, CA and is specialized in Mental Health. Russell Ja practices in San Jose, CA. The NPI Number for Russell Ja is 1215421516 and holds a License No. (California).

The current practice location address for Russell Ja is 1885 Lundy Ave Ste 223, San Jose, CA and can be reached out via phone at 408-284-9079.

Location: 1885 Lundy Ave Ste 223, San Jose, CA, 95131-1888
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215421516
Provider Name
Russell Ja
Credential
Provider Entity Type
Individual
Gender
Male
Address
1885 Lundy Ave Ste 223, San Jose, CA, 95131-1888
Phone Number
408-284-9079
Fax Number
Provider Enumeration Date
06/20/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1885 Lundy Ave Ste 223
City
San Jose
State
California
Zip
95131-1888
Phone Number
408-284-9079
Fax Number
person
Provider Business Mailing Address Details
Address
1885 Lundy Ave Ste 223
City
San Jose
State
California
Zip
95131-1888
Phone Number
408-284-9079
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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