Basic Information
| Provider Information | |||||||||
| NPI: | 1932370434 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CAMESE | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | DELOYCE | ||||||||
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| Credential: | LMFT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 86 S 14TH ST | ||||||||
| Address2: | |||||||||
| City: | SAN JOSE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 951122015 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4085107080 | ||||||||
| FaxNumber: | 4085107081 | ||||||||
| Practice Location | |||||||||
| Address1: | 86 S 14TH ST | ||||||||
| Address2: | |||||||||
| City: | SAN JOSE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 951122015 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4085107080 | ||||||||
| FaxNumber: | 4085107081 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/12/2008 | ||||||||
| LastUpdateDate: | 04/05/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | 99165 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.