# KUSUM PUNJABI LICENSED MARRIAGE AND FAMILY THERAPIST PC (DBA SOUL SPACE PSYCHOTHERAPY)

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588509996
- **Authorized official:** MS. KUSUM BHAGWAN PUNJABI LMFT (PRESIDENT AND PRINCIPAL THERAPIST)
- **Authorized official phone:** (650) 227-9282

## Contact information

- **Practice address:** 130 STOCKTON AVE APT 328, SAN JOSE, CA 95126-2837
- **Practice address phone:** (650) 227-9282
- **Mailing address:** 130 STOCKTON AVE APT 328, SAN JOSE, CA 95126-2837
- **Mailing address phone:** (650) 227-9282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/22/2026
- **Last updated:** 04/22/2026