Jeanne Elise Faulkner, LMFT
Individual provider Active NPI Marriage & Family Therapist · San Jose, CA
NPI 1487701074 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487701074
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFT 21376 (CA)
- Practice address
- 5755 Cottle Rd
Building 4
San Jose, CA 95123-3640 - Phone
- (408) 972-3227
- Fax
- (408) 972-3242
- NPI assigned
- Jan 4, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT 21376 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT 21376 | CA | Yes |
Addresses
Primary practice location
5755 Cottle Rd
Building 4
San Jose, CA 95123-3640
Mailing address
5755 Cottle Rd
Building 4
San Jose, CA 95123-3640
Phone (408) 972-3227
Other names
- Jeanne Gissenaas Faulkner
Other providers in San Jose, CA
- Nava Fathi
- Fatima Vafai DDS, Inc
- Mustafa Fattah
- Parvez Mehboob Fatteh
- Charles W. Faulk
- John Richard Faull
- Roberta Marie Faust
- Josiah Faustino
- Catherine S Fausto
- Priscilla Favela
All providers in San Jose, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.