Individual provider · Type 1 NPI

Poorti Srivastava

Mental Health Counselor · San Jose, CA

NPI number 1497363501 Active

Practice location

25 N 14th St Ste 400
San Jose, CA 95112-6217

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1497363501

Poorti Srivastava's National Provider Identifier is 1497363501, issued on Jul 15, 2020. 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 Jul 15, 2020.