Individual provider · Type 1 NPI

Kapila Ethenmoo Venkataraman, MFT

Mental Health Counselor · Campbell, CA

NPI number 1699512384 Active

Practice location

901 Campisi Way Ste 350
Campbell, CA 95008-2349

Call (408) 337-2264 Map

Mailing address

PO Box 3169
Santa Clara, CA 95055-3169

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X147135 (CA)

Mental Health Counselor: Definition to come...

2 other providers at this address

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About NPI 1699512384

Kapila Ethenmoo Venkataraman, MFT's National Provider Identifier is 1699512384, issued on Jul 10, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Campbell, CA. The record was last updated on Aug 8, 2024.