Provider Demographics
NPI:1922176007
Name:SPRINGS, DELORES CHRISTINA (BA, MA, MHRS)
Entity Type:Individual
Prefix:
First Name:DELORES
Middle Name:CHRISTINA
Last Name:SPRINGS
Suffix:
Gender:F
Credentials:BA, MA, MHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3031 TISCH WAY STE 306
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-2530
Mailing Address - Country:US
Mailing Address - Phone:408-835-4568
Mailing Address - Fax:408-554-4209
Practice Address - Street 1:3031 TISCH WAY STE 306
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2530
Practice Address - Country:US
Practice Address - Phone:408-835-4568
Practice Address - Fax:408-554-4209
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA3515OtherCOUNTY IDENTIFICATION