Provider Demographics
NPI:1689294480
Name:YOSHIZU, ASKA (LMFT)
Entity Type:Individual
Prefix:MS
First Name:ASKA
Middle Name:
Last Name:YOSHIZU
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:ASUKA
Other - Middle Name:YOSHIZU
Other - Last Name:EVANSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1046 W TAYLOR ST STE 204
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-1815
Mailing Address - Country:US
Mailing Address - Phone:650-665-9921
Mailing Address - Fax:
Practice Address - Street 1:1046 W TAYLOR ST STE 204
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-1815
Practice Address - Country:US
Practice Address - Phone:650-655-9921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-21
Last Update Date:2023-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA118751106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist