Individual
JON MICHAEL FAXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3840 HOMESTEAD ROAD, KAISER PERMANETE -- BEHAVIORAL HEALTH CENTER, SANTA CLARA, CA 95051
(408) 569-2604
Mailing address
18951 FERNBROOK CT, SARATOGA, CA 95070-3424
(408) 569-2604
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCSW CA 24839
CA
Other
Enumeration date
04/09/2007
Last updated
01/14/2022
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