Provider Demographics
NPI:1598817124
Name:KUENDIG, CHIH MEI JILL (MFT)
Entity Type:Individual
Prefix:MRS
First Name:CHIH MEI
Middle Name:JILL
Last Name:KUENDIG
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 1:120 N EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-2791
Mailing Address - Country:US
Mailing Address - Phone:650-576-9712
Mailing Address - Fax:
Practice Address - Street 1:21710 STEVENS CREEK BLVD STE 105
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-1179
Practice Address - Country:US
Practice Address - Phone:650-576-9712
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48235106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist