Active, Katherine

Active, Katherine is an sole proprietor health care provider with primary practice located at 1075 E Santa Clara St , San Jose CA 95116-2244. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Active, Katherine can be contacted via phone (408) 792-3910.

Contact Information

Primary practice address
1075 E Santa Clara St San Jose CA 95116-2244
Phone: (408) 792-3910
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X California
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1659926343
LBN Legal business name Active, Katherine
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2019
Last updated Aug 14th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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