Provider Demographics
NPI:1639204639
Name:BEEBE, JOANNE CHRISTINE (MFT)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:CHRISTINE
Last Name:BEEBE
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 1:2020 FOREST AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-4805
Mailing Address - Country:US
Mailing Address - Phone:408-971-7574
Mailing Address - Fax:408-885-0288
Practice Address - Street 1:2020 FOREST AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-4805
Practice Address - Country:US
Practice Address - Phone:408-971-7574
Practice Address - Fax:408-885-0288
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC30996106H00000X
CARDH2881124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Not Answered124Q00000XDental ProvidersDental Hygienist