Provider Demographics
NPI:1912161597
Name:KATHLEEN KESTEN, MFT
Entity Type:Organization
Organization Name:KATHLEEN KESTEN, MFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KESTEN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:408-507-4457
Mailing Address - Street 1:920 SARATOGA AVE
Mailing Address - Street 2:SUITE 212
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129-3403
Mailing Address - Country:US
Mailing Address - Phone:408-507-4457
Mailing Address - Fax:
Practice Address - Street 1:920 SARATOGA AVE
Practice Address - Street 2:SUITE 212
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95129-3403
Practice Address - Country:US
Practice Address - Phone:408-507-4457
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC45774106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty