Individual provider · Type 1 NPI

Loren Wong Gissible

Counselor · San Jose, CA

NPI number 1750459137 Active

Practice location

160 E Virginia St, 280
San Jose, CA 95112

Call (408) 287-6200 Map

Fax (408) 998-1535

Mailing address

31599 Burnham Way
Hayward, CA 94544

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 1750459137

Loren Wong Gissible's National Provider Identifier is 1750459137, issued on Dec 1, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Jose, CA. The record was last updated on Jul 8, 2007.