MEDICARE: MS. KATHRYN PARLET LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1962642736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHRYN PARLET LMFT

Provider Business Mailing Address
First Line	:	820 ENBORG CT
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-2644
Country	:	US
Telephone Number	:	408-885-8520
Fax Number	:

Provider Business Practice Location Address
First Line	:	820 ENBORG CT
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-2644
Country	:	US
Telephone Number	:	408-885-8520
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2009
Last Update Date	:	03/05/2009

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