Individual provider · Type 1 NPI

Kamane Malvo Marshall

Mental Health Counselor · San Jose, CA

NPI number 1770047714 Active

Practice location

195 E San Fernando St
San Jose, CA 95112-3503

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1770047714

Kamane Malvo Marshall's National Provider Identifier is 1770047714, issued on Jan 23, 2019. 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 Jan 23, 2019.