| Doctor Name: | DR. JANE KINGSTON |
| NPI Number: | 1235140476 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D., MFT |
| License Number: | MFT24986 |
| Business Practice Address: | 625 Miramontes St #202 Half Moon Bay, CA - 940191942 |
| Business Phone Number: | 6507266774 |
| Business Fax Number: | 6507266774 |
| Mailing Address: | 625 Miramontes St, #202 HALF MOON BAY |
| State: | CA |
| Postal Code: | 940191942 |
| Phone Number: | 6507266774 |
| Fax Number: | 6507266774 |
| NPI Enumeration Date: | 08/11/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MFT24986 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |