Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Vijay R Kolavennu, PHD

Individual provider Mental Health Counselor · NPI 1194063669

Dr. Vijay R Kolavennu, PHD is a Mental Health Counselor in Fremont, California. Practices as a sole proprietor. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3300 Capitol Ave
Fremont, CA 94538-1514
Phone: (510) 574-2032
Fax: (510) 574-2054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1194063669
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 17, 2013
Last updated in NPPESSeptember 11, 2013

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