Individual provider · Type 1 NPI

Katherine Active

Counselor · San Jose, CA

NPI number 1659926343 Active

Practice location

1075 E Santa Clara St
San Jose, CA 95116-2244

Call (408) 792-3910 Map

Mailing address

3427 Kettmann Rd
San Jose, CA 95121-1225

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1659926343

Katherine Active's National Provider Identifier is 1659926343, issued on Aug 8, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Jose, CA. The record was last updated on Aug 14, 2019.