Individual provider · Type 1 NPI

Manasa Mahadevan

Mental Health Counselor · Fairfield, CA

NPI number 1053168294 Active

Practice location

4820 Business Center Dr Ste 110
Fairfield, CA 94534-1907

Mailing address

85 Rio Robles E Unit 1111
San Jose, CA 95134-1652

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XAMFT146206 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1053168294

Manasa Mahadevan's National Provider Identifier is 1053168294, issued on May 6, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairfield, CA. The record was last updated on May 6, 2024.