Individual provider · Type 1 NPI

T.c. N/a Everett Jr.

Counselor · San Jose, CA

NPI number 1093292989 Active

Practice location

1887 Monterey Hwy Ste 205
San Jose, CA 95112-6192

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Case Manager/Care Coordinator	171M00000X	None listed
Counselor Primary	101Y00000X	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 1093292989

T.c. N/a Everett Jr.'s National Provider Identifier is 1093292989, issued on Jul 24, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Jose, CA. The record was last updated on Jul 24, 2018.