REYNA LORA MADEWELL
NPI 1174174296
Counselor - Mental Health in San Jose, CA
Active since September 20, 2019
About Reyna Lora Madewell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REYNA LORA MADEWELL (NPI 1174174296) is an individual mental health provider in San Jose, California and active in the NPI registry since September 2019.
NPPES Registry Identity
NPI1174174296
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameREYNA LORA MADEWELL
Location Address800 N 1ST STSan Jose, CA 95112-6312
Mailing Address800 N 1st StSan Jose, CA 95112-6312 · (408) 299-0462 · Fax (408) 299-0469
Phone(408) 299-0462
Fax(408) 299-0469
Sole ProprietorNo
Enumeration DateSeptember 20, 2019
✔ NPI 1174174296 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
800 N 1ST ST, San Jose, CA 95112
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
Clinic/Center (Mental Health (Including Community Mental Health Center))
800 N 1ST ST
SAN JOSE, CA 95112
SAN JOSE, CA 95112
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174174296, enumerated as an "individual" on September 20, 2019.
The provider is located at 800 N 1ST ST SAN JOSE, CA 95112 and the phone number is (408) 299-0462.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.