Provider Demographics
NPI:1669752853
Name:WOODS, KALE JHAMI (MFT INTERN)
Entity type:Individual
Prefix:
First Name:KALE
Middle Name:JHAMI
Last Name:WOODS
Suffix:
Gender:F
Credentials:MFT INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3701 PARK BOULEVARD WAY
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94610-2837
Mailing Address - Country:US
Mailing Address - Phone:415-963-4149
Mailing Address - Fax:
Practice Address - Street 1:1426 FILLMORE ST
Practice Address - Street 2:SUITE NUMBER 204
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-5236
Practice Address - Country:US
Practice Address - Phone:415-963-4149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-19
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA65617106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist