person
Kristin Bloomer Archdeacon, LCSW
Mental Health Counselor in San Jose, California
NPI 1427759406

Kristin Bloomer Archdeacon is a Mental Health Counselor based in San Jose, CA and is specialized in Mental Health. Kristin Bloomer Archdeacon practices in San Jose, CA and has the professional credentials of LCSW. The NPI Number for Kristin Bloomer Archdeacon is 1427759406 and holds a License No. LCSW80860 (California).

The current practice location address for Kristin Bloomer Archdeacon is 725 E Santa Clara St Ste 105, San Jose, CA and can be reached out via phone at 408-961-4645.

Location: 725 E Santa Clara St Ste 105, San Jose, CA, 95112-2016
person
Provider Profile Details
NPI Number
1427759406
Provider Name
Kristin Bloomer Archdeacon
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
725 E Santa Clara St Ste 105, San Jose, CA, 95112-2016
Phone Number
408-961-4645
Fax Number
Provider Enumeration Date
03/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
725 E Santa Clara St Ste 105
City
State
Zip
95112-1936
Phone Number
408-961-4645
Fax Number
person
Provider Business Mailing Address Details
Address
725 E Santa Clara St Ste 105
City
State
Zip
95112-1936
Phone Number
408-961-4645
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCSW80860 (California)
Definition
Definition to come...
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