Individual provider · Type 1 NPI

Katherine Laura Vivanco

Counselor · San Jose, CA

NPI number 1225223530 Active

Practice location

160 E Virginia St, Suite 280
San Jose, CA 95112

Call (408) 287-6200 Map

Fax (408) 998-1535

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 1225223530

Katherine Laura Vivanco's National Provider Identifier is 1225223530, issued on Sep 10, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Jose, CA. The record was last updated on Sep 10, 2007.