Individual provider · Type 1 NPI

Vijay R. Kolavennu, PH. D.

Mental Health Counselor · Fremont, CA

NPI number 1194063669 Active

Practice location

3300 Capitol Ave
Fremont, CA 94538-1514

Call (510) 574-2032 Map

Fax (510) 574-2054

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1194063669

Vijay R. Kolavennu, PH. D.'s National Provider Identifier is 1194063669, issued on Jan 17, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fremont, CA. The record was last updated on Sep 11, 2013.