Provider Demographics
NPI:1679716336
Name:LI, KALAM LOK (LMFT)
Entity type:Individual
Prefix:MRS
First Name:KALAM
Middle Name:LOK
Last Name:LI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MRS
Other - First Name:KA LAM
Other - Middle Name:LOK
Other - Last Name:LI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:920 SARATOGA AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129-3408
Mailing Address - Country:US
Mailing Address - Phone:408-785-2154
Mailing Address - Fax:408-249-9240
Practice Address - Street 1:920 SARATOGA AVE STE 212
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95129-3408
Practice Address - Country:US
Practice Address - Phone:408-785-2154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53488106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist