Jaclyn Kingman, M.S.W Valid NPI
Individual provider · Counselor · Los Gatos, CA
- NPI
- 1558671933
- Type
- Individual (Type 1)
- Primary specialty
- Counselor
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101Y00000X
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2010-10-19
- Last updated
- 2015-09-04
Practice location
16412 Los Gatos Blvd
Los Gatos, CA 95032-5525
(408) 440-0750