Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003243098 |
---|---|
Provider Name | Arman Husic |
First Address | San Jose, CA 95128-2650 |
Second Address | San Jose, CA 95128-2650 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2013 |
Last Update Date | 04/10/2013 |