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Organization
KUSUM PUNJABI LICENSED MARRIAGE AND FAMILY THERAPIST PC (DBA SOUL SPACE PSYCHOTHERAPY)
Active
Organization
KUSUM PUNJABI LICENSED MARRIAGE AND FAMILY THERAPIST PC (DBA SOUL SPACE PSYCHOTHERAPY)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KUSUM BHAGWAN PUNJABI LMFT (PRESIDENT AND PRINCIPAL THERAPIST)
(650) 227-9282
Entity
Organization
Contact information
Practice address
130 STOCKTON AVE APT 328, SAN JOSE, CA 95126-2837
(650) 227-9282
Mailing address
130 STOCKTON AVE APT 328, SAN JOSE, CA 95126-2837
(650) 227-9282
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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