MR. KENDALE DEMERY
NPI 1427345743
Counselor - Addiction (Substance Use Disorder) in San Jose, CA
Active since July 07, 2011
About Mr. Kendale Demery NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KENDALE DEMERY (NPI 1427345743) is an individual addiction (substance use disorder) provider in San Jose, California and active in the NPI registry since July 2011.
NPPES Registry Identity
NPI1427345743
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. KENDALE DEMERY
Location Address651 S 9 TH STSan Jose, CA 95112
Mailing Address561 S 9th StSan Jose, CA 95112-3749 · (408) 885-1291 · Fax (408) 885-1366
Phone(408) 885-1291
Fax(408) 885-1366
Sole ProprietorNo
Enumeration DateJuly 7, 2011
✔ NPI 1427345743 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
651 S 9 TH ST, San Jose, CA 95112
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427345743, enumerated as an "individual" on July 07, 2011.
The provider is located at 651 S 9 TH ST SAN JOSE, CA 95112 and the phone number is (408) 885-1291.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
