Provider Demographics
NPI:1932370434
Name:CAMESE, KAREN DELOYCE (LMFT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:DELOYCE
Last Name:CAMESE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 S 14TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95112-2015
Mailing Address - Country:US
Mailing Address - Phone:408-510-7080
Mailing Address - Fax:408-510-7081
Practice Address - Street 1:86 S 14TH ST
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-2015
Practice Address - Country:US
Practice Address - Phone:408-510-7080
Practice Address - Fax:408-510-7081
Is Sole Proprietor?:No
Enumeration Date:2008-03-12
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA99165106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist