Provider Demographics
NPI:1255492740
Name:CABAN, MICHELE LEI (LMFT)
Entity Type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:LEI
Last Name:CABAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:MICHELE
Other - Middle Name:LEI
Other - Last Name:MERWIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:1171 HOMESTEAD RD STE 220
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-5485
Mailing Address - Country:US
Mailing Address - Phone:833-256-4225
Mailing Address - Fax:408-904-7444
Practice Address - Street 1:710 LAWRENCE EXPY
Practice Address - Street 2:SUITE 464
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-5173
Practice Address - Country:US
Practice Address - Phone:408-851-4241
Practice Address - Fax:408-851-4249
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 38244106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist