Provider Demographics
NPI:1437331964
Name:BELLONE, CAROL A (LMFT)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:A
Last Name:BELLONE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1885 THE ALAMEDA
Mailing Address - Street 2:SUITE 130
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-1744
Mailing Address - Country:US
Mailing Address - Phone:408-248-7778
Mailing Address - Fax:408-244-7266
Practice Address - Street 1:1885 THE ALAMEDA
Practice Address - Street 2:SUITE 130
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-1744
Practice Address - Country:US
Practice Address - Phone:408-248-7778
Practice Address - Fax:408-244-7266
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-27
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC30779106H00000X
3747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider