Individual provider · Type 1 NPI

Shelley Jean Kenner

Mental Health Counselor · San Jose, CA

NPI number 1881865475 Active

Practice location

1555 Parkmoor Ave
San Jose, CA 95128-2407

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1881865475

Shelley Jean Kenner's National Provider Identifier is 1881865475, issued on Mar 21, 2008. 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 21, 2008.