Divadiversity
NPI #1548719545 in Santa Clara, California
Provider Information
- NPI Number
- 1548719545
- Entity Type
- Organization
- Organization Name
- Divadiversity
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Oct 2, 2016
- Last Updated
- Mar 31, 2020
Practice Location
- Address
- 1171 HOMESTEAD RD STE 220
- City
- Santa Clara
- State
- California
- ZIP Code
- 95050-5485
- Phone
- (833) 256-4225
Authorized Official
- Name
- ARLENE TICOULET, LMFT
- Title
- CEO
- Phone
- (833) 256-4225
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Psychologist - Clinical — Clinical |
| Marriage & Family Therapist |
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