Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jin Ki Song

Individual provider Mental Health Counselor · NPI 1962026260

Jin Ki Song is a Mental Health Counselor in San Jose, California. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

1400 Parkmoor Ave Ste 210
San Jose, CA 95126-3798
Phone: (408) 961-9833
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1962026260
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 2, 2020
Last updated in NPPESJune 2, 2020
Certification dateJune 2, 2020

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