Provider Demographics
NPI:1326232331
Name:BRITO, JESS GREGORY (MSW)
Entity Type:Individual
Prefix:MR
First Name:JESS
Middle Name:GREGORY
Last Name:BRITO
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:277 N TEMPLE DR
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-4755
Mailing Address - Country:US
Mailing Address - Phone:408-942-7396
Mailing Address - Fax:
Practice Address - Street 1:455 SILICON VALLEY BLVD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95138-1858
Practice Address - Country:US
Practice Address - Phone:408-284-9010
Practice Address - Fax:408-284-9048
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-02
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health