Katherine Active
Katherine Active is a Student in an Organized Health Care Education/Training Program in San Jose, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
1075 E Santa Clara StSan Jose, CA 95116-2244
Phone: (408) 792-3910
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (CA) |
Record details
| NPI number | 1659926343 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 8, 2019 |
| Last updated in NPPES | August 14, 2019 |
| Mailing address | 3427 Kettmann Rd, San Jose, CA 95121-1225 |
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