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1073661195 NPI number — JEANETTE LYNN KEESLING LMFT

NPI Number: 1073661195
Health Care Provider/Practitioner: JEANETTE LYNN KEESLING LMFT

Information about “1073661195” NPI (JEANETTE LYNN KEESLING LMFT) exists in 1073661195 in HTML format HTML  |  1073661195 in plain Text format TXT  |  1073661195 in PDF (Portable Document Format) PDF  |  1073661195 in an XML format XML  formats.

NPI Number : 1073661195 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1073661195",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KEESLING",
    "FirstName": "JEANETTE",
    "MiddleName": "LYNN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMFT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MORETTI",
    "OtherFirstName": "JEANETTE",
    "OtherMiddleName": "KEESLING",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "15810 LOS GATOS BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LOS GATOS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "95032-3315",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "408-354-9956",
    "MailingAddressFaxNumber": "408-354-9956",
    "FirstLinePracticeLocationAddress": "15810 LOS GATOS BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS GATOS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95032-3315",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "408-354-9956",
    "PracticeLocationAddressFaxNumber": "408-354-9956",
    "EnumerationDate": "01/08/2007",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "106H00000X",
        "TaxonomyName": "Marriage & Family Therapist",
        "LicenseNumber": "MFT18398",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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