Provider Demographics
NPI:1124637244
Name:CAMPOY, VANISSIA YVETTE (LMFT #151666)
Entity type:Individual
Prefix:
First Name:VANISSIA
Middle Name:YVETTE
Last Name:CAMPOY
Suffix:
Gender:
Credentials:LMFT #151666
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 GUADALUPE PKWY RM 238
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95110-1714
Mailing Address - Country:US
Mailing Address - Phone:408-278-6230
Mailing Address - Fax:
Practice Address - Street 1:19050 MALAGUERRA AVE
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-9032
Practice Address - Country:US
Practice Address - Phone:408-961-4660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-24
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA151666106H00000X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist