St George, Kenneth Edward

St George, Kenneth Edward is an sole proprietor health care provider with primary practice located at 390 Spar Ave , San Jose CA 95117-1600. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. St George, Kenneth Edward can be contacted via phone (408) 261-2481.

Contact Information

Primary practice address
390 Spar Ave San Jose CA 95117-1600
Fax: (408) 241-6188
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC28125 California

Profile Details

NPI number 1376600874
LBN Legal business name St George, Kenneth Edward
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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