Individual provider · Type 1 NPI

Kenneth Mallon

Mental Health Counselor · San Jose, CA

NPI number 1205505302 Active

Practice location

950 S Bascom Ave Ste 2005
San Jose, CA 95128-3538

Call (650) 487-0604 Map

Mailing address

1210 S Bascom Ave Ste 114
San Jose, CA 95128-3535

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X116516 (CA)

Mental Health Counselor: Definition to come...

Another provider at this address

Other mental health counselor providers in San Jose

See all in San Jose →

About NPI 1205505302

Kenneth Mallon's National Provider Identifier is 1205505302, issued on Sep 10, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jose, CA. The record was last updated on Mar 5, 2023.