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

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 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.