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1023131869
JON MICHAEL FAXON
SANTA CLARA, CA
NPI
1023131869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CA LCSW CA 24839)
Enumeration Date
2007-04-09
Last Update Date
2022-01-14
Business Address
JON MICHAEL FAXON LCSW
3840 HOMESTEAD ROAD KAISER PERMANETE -- BEHAVIORAL HEALTH CENTER
SANTA CLARA, CA 95051
Phone number: 408-569-2604
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Mailing Address
JON MICHAEL FAXON LCSW
18951 FERNBROOK CT
SARATOGA, CA 95070-3424
Phone number: 408-569-2604
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