Individual provider · Type 1 NPI

Nicole Burgess

Counselor · San Jose, CA

NPI number 1164057402 Active

Practice location

2625 Zanker Rd Ste 101
San Jose, CA 95134-2130

Call (408) 325-5211 Map

Mailing address

500 El Camino Real
Santa Clara, CA 95053-1000

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone 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 1164057402

Nicole Burgess's National Provider Identifier is 1164057402, issued on Mar 6, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Jose, CA. The record was last updated on Mar 6, 2020.