Family Therapy Center, A Professional Licensed Clinical Social Worker

Specialty details in registry · Los Gatos, CA

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At a glance

14651 S Bascom Ave, Los Gatos, CA 95032-2014

NPPES record updated Oct 26, 2016. Public records can lag behind changes at a practice.

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Practice location

14651 S Bascom Ave Suite 225
Los Gatos, CA 95032-2014

Professional details: NPI, taxonomy & registry record

NPI1437601374

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 251S00000X
Enumeration date: Oct 26, 2016
Record updated: Oct 26, 2016

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251S00000X · Primary

License reported: LCSW 24906 CA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

14651 S Bascom Ave
Suite 225
Los Gatos, CA 95032-2014

Phone: (408) 560-0065

Mailing address

246 UNION AVE

LOS GATOS, CA 950323903

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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