Individual provider · Type 1 NPI

Liberty Hebron

Student in an Organized Health Care Education/Training Program · San Jose, CA

NPI number 1720537160 Active

Practice location

2001 The Alameda
San Jose, CA 95126-1136

Call (408) 261-7777 Map

Fax (408) 642-6052

Mailing address

1922 The Alameda Ste 316
San Jose, CA 95126-1461

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XPCCI 1581 (CA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1720537160

Liberty Hebron's National Provider Identifier is 1720537160, issued on Sep 27, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Jose, CA. The record was last updated on Jul 15, 2024.