Provider Demographics
NPI:1609233709
Name:SAXTON, MICHAEL ANTHONY JR (CNA)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:ANTHONY
Last Name:SAXTON
Suffix:JR
Gender:M
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5205 PROSPECT RD
Mailing Address - Street 2:SUITE 135
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129-5000
Mailing Address - Country:US
Mailing Address - Phone:408-963-7328
Mailing Address - Fax:
Practice Address - Street 1:5205 PROSPECT RD
Practice Address - Street 2:SUITE 135
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95129-5000
Practice Address - Country:US
Practice Address - Phone:408-963-7328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-20
Last Update Date:2016-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor