Individual provider · Type 1 NPI

Jon Michael Faxon, LCSW

Professional Counselor · Santa Clara, CA

NPI number 1023131869 Active

Practice location

3840 Homestead Road, Kaiser Permanete -- Behavioral Health Center
Santa Clara, CA 95051

Call (408) 569-2604 Map

Mailing address

18951 Fernbrook Ct
Saratoga, CA 95070-3424

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLCSW CA 24839 (CA)

Professional Counselor: Definition to come...

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About NPI 1023131869

Jon Michael Faxon, LCSW's National Provider Identifier is 1023131869, issued on Apr 9, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Santa Clara, CA. The record was last updated on Jan 14, 2022.