RADICAL ROOTS PSYCHOTHERAPY, A LICENSED CLINICAL SOCIAL WORKER, PC

SAN JOSE, CA
NPI1003664947
Entity TypeOrganization
Authorized ContactALEXIS MATHIAS
CEO/Owner
609-694-1872
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2024-05-07
Last Update Date2024-05-07
Business Address
RADICAL ROOTS PSYCHOTHERAPY, A LICENSED CLINICAL SOCIAL WORKER, PC
1875 MAC DUEE CT.
SAN JOSE, CA 95121
Phone number: 609-694-1872
Mailing Address
RADICAL ROOTS PSYCHOTHERAPY, A LICENSED CLINICAL SOCIAL WORKER, PC
440 N BARRANCA AVE # 1918
COVINA, CA 91723-1722
Phone number: 609-694-1872
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