Katherine Active

NPI 1659926343 · on the registry since 2019 · sole proprietor

Practice

Address: 1075 E Santa Clara St
San Jose, CA 95116
Phone: (408) 792-3910
Organisation at this address: County Of Santa Clara
County Of Santa Clara
Down Town Mental Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 55

Registry record

Primary taxonomy: 101Y00000X
101Y00000X
Also registered as: 390200000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2019-08-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California