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Poorti Srivastava
Mental Health Counselor in San Jose, California
NPI 1497363501

Poorti Srivastava is a Mental Health Counselor based in San Jose, CA and is specialized in Mental Health. Poorti Srivastava practices in San Jose, CA. The NPI Number for Poorti Srivastava is 1497363501 and holds a License No. (California).

The current practice location address for Poorti Srivastava is 25 N 14Th St Ste 400, San Jose, CA and can be reached out via phone at 408-569-9550.

Location: 25 N 14Th St Ste 400, San Jose, CA, 95112-6217
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497363501
Provider Name
Poorti Srivastava
Credential
Provider Entity Type
Individual
Gender
Female
Address
25 N 14Th St Ste 400, San Jose, CA, 95112-6217
Phone Number
408-569-9550
Fax Number
Provider Enumeration Date
07/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
25 N 14Th St Ste 400
City
San Jose
State
California
Zip
95112-6217
Phone Number
408-569-9550
Fax Number
person
Provider Business Mailing Address Details
Address
25 N 14Th St Ste 400
City
San Jose
State
California
Zip
95112-6217
Phone Number
408-569-9550
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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