Most Relevant Information
Provider Data
| NPI Number: | 1003312794 |
| Provider Name: | TERESA BRUZZO AMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/02/2018 |
| Last Updated: | 01/03/2019 |
Provider Practice Location
1303 SAN CARLOS AVE
SAN CARLOS
CA
94070
Practice Location Phone/Fax
| Phone: | 6503945155 |
| Fax: |
Provider Mailing Location
23 CAMBORNE AVE
SAN CARLOS
CA
940701603
Provider Mailing Phone/Fax
| Phone: | 2063569794 |
| Fax: |