Provider Demographics
NPI:1447575576
Name:HESS, KALI L (MFT)
Entity Type:Individual
Prefix:
First Name:KALI
Middle Name:L
Last Name:HESS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 RENATO CT STE 17
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94061-4016
Mailing Address - Country:US
Mailing Address - Phone:650-369-6304
Mailing Address - Fax:650-326-4232
Practice Address - Street 1:61 RENATO CT STE 17
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94061-4016
Practice Address - Country:US
Practice Address - Phone:650-369-6304
Practice Address - Fax:650-326-4232
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-31
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC31164106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist