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Shelley Jean Kenner
Mental Health Counselor in San Jose, California
NPI 1881865475

Shelley Jean Kenner is a Mental Health Counselor based in San Jose, CA and is specialized in Mental Health. Shelley Jean Kenner practices in San Jose, CA. The NPI Number for Shelley Jean Kenner is 1881865475 and holds a License No. (California).

The current practice location address for Shelley Jean Kenner is 1555 Parkmoor Ave, San Jose, CA and can be reached out via phone at 408-282-0402.

Location: 1555 Parkmoor Ave, San Jose, CA, 95128-2407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881865475
Provider Name
Shelley Jean Kenner
Credential
Provider Entity Type
Individual
Gender
Female
Address
1555 Parkmoor Ave, San Jose, CA, 95128-2407
Phone Number
408-282-0402
Fax Number
Provider Enumeration Date
03/21/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1555 Parkmoor Ave
City
San Jose
State
California
Zip
95128-2407
Phone Number
408-282-0402
Fax Number
person
Provider Business Mailing Address Details
Address
1555 Parkmoor Ave
City
San Jose
State
California
Zip
95128-2407
Phone Number
408-282-0402
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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