Individual
ANNETTE BOKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
540 N 1ST ST, SAN JOSE, CA 95112-5319
(408) 510-3420
Mailing address
PO BOX 8150, SAN JOSE, CA 95155-8150
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
103982
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103982
BBS
CA
Enumeration date
12/01/2015
Last updated
11/08/2019
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