SIMON NFOSAK MBONGO

SAN JOSE, CA
NPI1659796191
Professional NameSIMON NFOSAK MBONGO
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  VN211623)
Enumeration Date2014-02-20
Last Update Date2014-02-20
Business Address
-- SIMON NFOSAK MBONGO LVN
2001 THE ALAMEDA
SAN JOSE, CA 95126-1136
Phone number: 408-261-7777
Mailing Address
-- SIMON NFOSAK MBONGO LVN
1583 MARIETTA DR
SAN JOSE, CA 95118-2136
Phone number: 408-800-9276