Individual provider · Type 1 NPI

Jiaxi Shao, LPCC

Professional Counselor · San Jose, CA

NPI number 1780460626 Active

Practice location

1245 S Winchester Blvd Ste 110
San Jose, CA 95128-3908

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XP124028 (NY)
Mental Health Counselor 101YM0800X19266 (CA)
Professional Counselor Primary 101YP2500X19266 (CA)

Professional Counselor: Definition to come...

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About NPI 1780460626

Jiaxi Shao, LPCC's National Provider Identifier is 1780460626, issued on Sep 6, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Jose, CA. The record was last updated on May 5, 2025.