Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH MALLON
ActiveKENNETH MALLON is a Mental Health Counselor healthcare provider located in SAN JOSE, California. NPI 1205505302 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · SAN JOSE, CA
Registration Details
- NPI Number
- 1205505302
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 10, 2021 (4.9355457844724 yrs)
- Last Updated
- Mar 5, 2023
- License
-
116516 (CA)
Practice Information
- Address
-
950 S BASCOM AVE STE 2005SAN JOSE, CA, 951283538Browse CA providers · Browse ZIP 95128
- Phone
- 6504870604
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in SAN JOSE, CA
| Name | Credential | NPI |
|---|---|---|
| MR. GEORGE FARFAN LOPEZ | L.C.S.W. | 1033132808 |
| MS. ELLEN A COHEN | M.A. MFT | 1205919735 |
| SARA BLEIWEISS | M.A. | 1740350271 |
| KAREEB JAMEL HARBIN | B.A., M.H.R.S | 1801968946 |
| ALESSANDRA G HOLMES | MA, MHRS | 1477626059 |
| MRS. STACY ANNE ARCHER | BA, MA | 1548333651 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.