Provider Demographics
NPI:1891203840
Name:KUO, NIEN-TZU (LMFT)
Entity Type:Individual
Prefix:
First Name:NIEN-TZU
Middle Name:
Last Name:KUO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:
Other - Last Name:KUO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:501 MURPHY RANCH RD APT 242
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-7995
Mailing Address - Country:US
Mailing Address - Phone:626-589-8593
Mailing Address - Fax:
Practice Address - Street 1:501 MURPHY RANCH RD APT 242
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-7995
Practice Address - Country:US
Practice Address - Phone:626-589-8593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-11
Last Update Date:2018-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103988106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist