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NPI 1184758047

NPI 1184758047 : CYNTHIA MARIE MCKEE MFT : SAN JOSE, CA

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General NPI Number Information
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    NPI Number           |    1184758047
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    Entity Type          |    Individual 
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    Provider Name        |    CYNTHIA MARIE MCKEE MFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/15/2007
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    Last Update Date     |    07/03/2025
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Provider Practice Location Address
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    Address Line         |    9505 MALECH DR 
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    City                 |    SAN JOSE
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    State                |    CA
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    Zip                  |    95138-2002
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    Country              |    US
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    Telephone            |    408-281-6570
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    Fax                  |    408-281-6564
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Provider Business Mailing Address
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    Address Line         |    613 BRYDEN AVE STE C 
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    City                 |    LEWISTON
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    State                |    ID
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    Zip                  |    83501-5192
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    Country              |    US
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    Telephone            |    408-685-9687
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    Fax                  |    408-729-4854
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    MFC 36502
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    License Number State |    CA
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