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Debora Denise Mandelbaum
Mental Health Counselor in San Jose, California
NPI 1306005913

Debora Denise Mandelbaum is a Mental Health Counselor based in San Jose, CA and is specialized in Mental Health. Debora Denise Mandelbaum practices in San Jose, CA. The NPI Number for Debora Denise Mandelbaum is 1306005913 and holds a License No. (California).

The current practice location address for Debora Denise Mandelbaum is 1333 Meridian Ave, San Jose, CA and can be reached out via phone at 408-445-3400 and via fax at 408-269-1952.

Location: 1333 Meridian Ave, San Jose, CA, 95125-5212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306005913
Provider Name
Debora Denise Mandelbaum
Credential
Provider Entity Type
Individual
Gender
Female
Address
1333 Meridian Ave, San Jose, CA, 95125-5212
Phone Number
408-445-3400
Fax Number
408-269-1952
Provider Enumeration Date
06/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FHC11833F 01 CA MEDICAL
institution
Provider Business Practice Location Address Details
Address
1333 Meridian Ave
City
San Jose
State
California
Zip
95125-5212
Phone Number
408-445-3400
Fax Number
408-269-1952
person
Provider Business Mailing Address Details
Address
1333 Meridian Ave
City
San Jose
State
California
Zip
95125-5212
Phone Number
408-445-3400
Fax Number
408-269-1952
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(California)
Definition
Definition to come...
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