Individual provider · Type 1 NPI

Alaetra Jeneese Dorsa, MHRS, BA, MA

Mental Health Counselor · San Jose, CA

NPI number 1508939604 Active

Practice location

232 E Gish Rd
San Jose, CA 95112-4706

Call (408) 876-4185 Map

Mailing address

3611 Willowview Dr
San Jose, CA 95118-1361

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1508939604

Alaetra Jeneese Dorsa, MHRS, BA, MA's National Provider Identifier is 1508939604, issued on Nov 16, 2006. 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 8, 2007.