Provider Demographics
NPI:1992018014
Name:MOHAN, VINUTHA (LMFT)
Entity type:Individual
Prefix:MS
First Name:VINUTHA
Middle Name:
Last Name:MOHAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20066 CHATEAU DR
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-4313
Mailing Address - Country:US
Mailing Address - Phone:408-868-9373
Mailing Address - Fax:
Practice Address - Street 1:220 S CALIFORNIA AVE
Practice Address - Street 2:STE, 120
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-1641
Practice Address - Country:US
Practice Address - Phone:408-718-2695
Practice Address - Fax:408-718-2695
Is Sole Proprietor?:No
Enumeration Date:2010-07-18
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA83479101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health