Individual provider · Type 1 NPI

Kristyn Nicole Tanaka-Roche, MFT, ATR

Marriage & Family Therapist · San Jose, CA

NPI number 1124333968 Active

Practice location

3880 S Bascom Ave Ste 115
San Jose, CA 95124-2600

Call (408) 351-1044 Map

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X82006 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1124333968

Kristyn Nicole Tanaka-Roche, MFT, ATR's National Provider Identifier is 1124333968, issued on Aug 17, 2010. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Jose, CA. The record was last updated on Oct 15, 2021.