Shallymar Bender
Counselor, Mental Health in Santa Clara, CA. Individual provider (NPI-1).
NPI number1083984710
StatusActive
Last updated in NPPESOct 13, 2023
Details
- NPI
- 1083984710
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Shallymar Bender
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 11, 2012
- Certification date
- Oct 13, 2023
- Last updated
- Oct 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | MSW89353 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | – | CA |
Practice location
5201 Great America Pkwy Ste 320Santa Clara, CA 95054-1140
Phone 909-471-1490
Mailing address
Po Box 2293Fontana, CA 92334-2293
Phone 909-471-1490
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