Individual provider · Type 1 NPI

Shallymar Bender

Mental Health Counselor · Santa Clara, CA

NPI number 1083984710 Active

Practice location

5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140

Call (909) 471-1490 Map

Mailing address

PO Box 2293
Fontana, CA 92334-2293

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800XMSW89353 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1083984710

Shallymar Bender's National Provider Identifier is 1083984710, issued on Jan 11, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Clara, CA. The record was last updated on Oct 13, 2023.