Individual provider · Type 1 NPI

David Wallsom

Counselor · San Jose, CA

NPI number 1164975140 Active

Practice location

2011 Little Orchard St
San Jose, CA 95125-1031

Call (408) 294-2100 Map

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 1164975140

David Wallsom's National Provider Identifier is 1164975140, issued on Jul 26, 2016. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Jose, CA. The record was last updated on Jul 26, 2016.