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Tera Delong
Mental Health Counselor in San Jose, California
NPI 1528740776

Tera Delong is a Mental Health Counselor based in San Jose, CA and is specialized in Mental Health. Tera Delong practices in San Jose, CA. The NPI Number for Tera Delong is 1528740776 and holds a License No. (California).

The current practice location address for Tera Delong is 3880 S Bascom Ave, San Jose, CA and can be reached out via phone at 408-930-4442.

Location: 3880 S Bascom Ave, San Jose, CA, 95138-1318
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528740776
Provider Name
Tera Delong
Credential
Provider Entity Type
Individual
Gender
Female
Address
3880 S Bascom Ave, San Jose, CA, 95138-1318
Phone Number
408-930-4442
Fax Number
Provider Enumeration Date
08/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3880 S Bascom Ave
City
San Jose
State
California
Zip
95124-2674
Phone Number
408-930-4442
Fax Number
person
Provider Business Mailing Address Details
Address
3880 S Bascom Ave
City
San Jose
State
California
Zip
95124-2674
Phone Number
408-930-4442
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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