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Katherine Active
Counselor in San Jose, California
NPI 1659926343

Katherine Active is a Counselor based in San Jose, CA. Katherine Active practices in San Jose, CA. The NPI Number for Katherine Active is 1659926343 and holds a License No. (California).

The current practice location address for Katherine Active is 1075 E Santa Clara St, San Jose, CA and can be reached out via phone at 408-792-3910.

Location: 1075 E Santa Clara St, San Jose, CA, 95121-1225
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659926343
Provider Name
Katherine Active
Credential
Provider Entity Type
Individual
Gender
Female
Address
1075 E Santa Clara St, San Jose, CA, 95121-1225
Phone Number
408-792-3910
Fax Number
Provider Enumeration Date
08/08/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1075 E Santa Clara St
City
San Jose
State
California
Zip
95116-2244
Phone Number
408-792-3910
Fax Number
person
Provider Business Mailing Address Details
Address
1075 E Santa Clara St
City
San Jose
State
California
Zip
95116-2244
Phone Number
408-792-3910
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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