Individual provider · Type 1 NPI
Jackivy Bundalian
Counselor · San Jose, CA
NPI number
1962909986
Active
Practice location
1485 Saratoga Ave Ste 200
San Jose, CA 95129-4965
Fax (877) 207-9553
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None 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 1962909986
Jackivy Bundalian's National Provider Identifier is 1962909986, issued on Apr 6, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Jose, CA. The record was last updated on Apr 6, 2018.