SearchCalifornia101YM0800X

Kenneth Mallon

NPI 1205505302 · on the registry since 2021

Practice

Address
950 S Bascom Ave Ste 2005
San Jose, CA 95128
Phone
(650) 487-0604
Organisation at this address
Lwf Home Care Inc.
Jacob'S Ladder Therapies
Mallon Advisory Services
Premier Healthcare Services, Llc
Stl Marriage And Family Therapy Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
30

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-05

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