Addison, Elisa

Addison, Elisa is an individual health care provider with primary practice located at 2680 S White Rd Ste 200 , San Jose CA 95148-2079. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Addison, Elisa can be contacted via phone (408) 755-3905.

Contact Information

Primary practice address
2680 S White Rd Ste 200 San Jose CA 95148-2079
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1649348624
LBN Legal business name Addison, Elisa
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Jan 3rd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649348624 NPPES
California Other 41677 SANTA CLARA COUNTY ID#

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