Individual
JENNIFER KAKATIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
P.O. BOX 4217, OAKLAND, CA 94540-1858
(510) 362-3019
Mailing address
455 SILICON VALLEY BLVD, SAN JOSE, CA 95138-1858
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
CA
104100000X
Social Worker
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/10/2007
Last updated
09/30/2025
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