Individual provider · Type 1 NPI

Colette Simone Gregory, M.ED./M.A.

Counselor · San Jose, CA

NPI number 1073922332 Active

Practice location

237 Race St
San Jose, CA 95126-4823

Call (408) 510-3480 Map

Mailing address

2850 Middlefield Rd, Apt. 310
Palo Alto, CA 94306-2512

Specialties and licenses

Taxonomy	Code	License
Counselor Primary	101Y00000X	None listed
Mental Health Counselor	101YM0800X	None listed
Professional Counselor	101YP2500X	None listed
School Counselor	101YS0200X	None listed
Marriage & Family Therapist	106H00000X	None listed
Case Manager/Care Coordinator	171M00000X	None listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1073922332

Colette Simone Gregory, M.ED./M.A.'s National Provider Identifier is 1073922332, issued on Aug 11, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Jose, CA. The record was last updated on Aug 11, 2014.