Individual provider · Type 1 NPI

Simon Nfosak Mbongo, LVN

Mental Health Counselor · San Jose, CA

NPI number 1659796191 Active

Practice location

2001 The Alameda
San Jose, CA 95126-1136

Call (408) 261-7777 Map

Mailing address

1583 Marietta Dr
San Jose, CA 95118-2136

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XVN211623 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1659796191

Simon Nfosak Mbongo, LVN's National Provider Identifier is 1659796191, issued on Feb 20, 2014. 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 Feb 20, 2014.