KENNETH MALLON

SAN JOSE, CA
NPI1205505302
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  116516)
Enumeration Date2021-09-10
Last Update Date2023-03-05
Business Address
KENNETH MALLON
950 S BASCOM AVE STE 2005
SAN JOSE, CA 95128-3538
Phone number: 650-487-0604
Mailing Address
KENNETH MALLON
1210 S BASCOM AVE STE 114
SAN JOSE, CA 95128-3535
Phone number: 650-487-0604
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