| Sallie Danenberg, Lmft | |
|
1777 Hamilton Ave Suite 2380 San Jose CA 95125-5430 | |
| (408) 600-9722 | |
| (408) 266-8545 |
| Full Name | Sallie Danenberg, Lmft |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1777 Hamilton Ave, San Jose, California |
| Authorized Official Name and Position | Sallie Ann Danenberg (OWNER) |
| Authorized Official Contact | 4082668544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sallie Danenberg, Lmft 1777 Hamilton Ave Suite 2380 San Jose CA 95125-5430 Ph: (408) 600-9722 | Sallie Danenberg, Lmft 1777 Hamilton Ave Suite 2380 San Jose CA 95125-5430 Ph: (408) 600-9722 |
| NPI Number | 1497134712 |
|---|---|
| Provider Enumeration Date | 05/19/2015 |
| Last Update Date | 05/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497134712 | NPI | - | NPPES |
| MFC25414 | Other | CA | STATE LICENSE NUMBER ASSIGNED BY CA. BBSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MFC25414 (California) | Primary |
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