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

Kenneth Mallon

Individual provider Mental Health Counselor · NPI 1205505302

Kenneth Mallon is a Mental Health Counselor in San Jose, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

950 S Bascom Ave Ste 2005
San Jose, CA 95128-3538
Phone: (650) 487-0604
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 116516 (CA)

Record details

NPI number1205505302
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 10, 2021
Last updated in NPPESMarch 5, 2023
Certification dateMarch 5, 2023

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