MALLORY KATAVICH

SAN JOSE, CA
NPI1144689886
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  101297)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2016-02-22
Last Update Date2021-05-06
Business Address
MALLORY KATAVICH
1555 PARKMOOR AVE
SAN JOSE, CA 95128-2407
Phone number: 408-282-0402
Mailing Address
MALLORY KATAVICH
1555 PARKMOOR AVE
SAN JOSE, CA 95128-2407
Phone number: 408-282-0402