Jon Michael Faxon, LCSW
NPI #1023131869 in Santa Clara, California
Provider Information
- NPI Number
- 1023131869
- Entity Type
- Individual
- Name
- Jon Michael Faxon, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LCSW
- Enumeration Date
- Apr 9, 2007
- Last Updated
- Jan 14, 2022
Practice Location
- Address
- 3840 HOMESTEAD ROAD
- Address 2
- KAISER PERMANETE -- BEHAVIORAL HEALTH CENTER
- City
- Santa Clara
- State
- California
- ZIP Code
- 95051
- Phone
- (408) 569-2604
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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