Individual provider · Type 1 NPI

Kacy D. Bult-O'Donnell

Marriage & Family Therapist · Santa Clara, CA

NPI number 1922381797 Active

Practice location

5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140

Call (323) 205-7088 Map

Fax (833) 419-0181

Mailing address

5201 Great America Pkwy
Santa Clara, CA 95054-1122

Other practice locations

  • 1433 S Robertson Blvd, Los Angeles, CA 90035-3414 · (310) 785-2121

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Marriage & Family Therapist Primary 106H00000X112263 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

205 other providers at this address

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About NPI 1922381797

Kacy D. Bult-O'Donnell's National Provider Identifier is 1922381797, issued on Sep 27, 2011. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Santa Clara, CA. The record was last updated on Jun 11, 2025.