Conrad Martin Solarez Jr.
Counselor, Mental Health in San Jose, CA. Individual provider (NPI-1).
NPI number1982179479
StatusActive
Last updated in NPPESOct 10, 2018
Details
- NPI
- 1982179479
- Entity type
- Individual (NPI-1)
- Name
- Mr. Conrad Martin Solarez Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2018
- Last updated
- Oct 10, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1885 Lundy AveSan Jose, CA 95131-1887
Phone 408-284-9079
Mailing address
1536 E Saint James StSan Jose, CA 95116-1249
Phone 408-648-7878
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