Healthcare Provider Details

I. General information

NPI: 1265936629
Provider Name (Legal Business Name): KARAMJIT KAUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2018
Last Update Date: 11/13/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1331 E CALAVERAS BLVD
MILPITAS CA
95035-5707
US

IV. Provider business mailing address

1331 E CALAVERAS BLVD
MILPITAS CA
95035-5707
US

V. Phone/Fax

Practice location:
  • Phone: 408-635-2600
  • Fax:
Mailing address:
  • Phone: 408-635-2600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number149458
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: