Individual provider · Type 1 NPI

Kimberly Mjaseth

Mental Health Counselor · San Jose, CA

NPI number 1932610490 Active

Practice location

5671 Santa Teresa Blvd Ste 104
San Jose, CA 95123-6515

Call (408) 225-9291 Map

Mailing address

5423 Century Park Way
San Jose, CA 95111-1816

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1932610490

Kimberly Mjaseth's National Provider Identifier is 1932610490, issued on Oct 23, 2017. 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 Oct 23, 2017.