Individual provider · Type 1 NPI
Venkata Siddardha Varma Indukuri
Mental Health Counselor · San Jose, CA
NPI number
1104372499
Active
Practice location
1885 Lundy Ave, 223
San Jose, CA 95131-1887
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1104372499
Venkata Siddardha Varma Indukuri's National Provider Identifier is 1104372499, issued on Aug 28, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jose, CA. The record was last updated on Aug 28, 2016.