Afuola, Katherine Ann
Afuola, Katherine Ann is an individual health care provider with primary practice located at 1126 S. Gold Street , Centralia WA 98531. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Afuola, Katherine Ann can be contacted via phone (360) 807-4929.Contact Information
Primary practice address
1126 S. Gold Street
Centralia WA 98531
Phone: (360) 807-4929
Fax: (360) 807-4160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CO60195249 | Washington |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CP60851768 | Washington |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LH61256941 | Washington |
Profile Details
| NPI number | 1396243473 |
|---|---|
| LBN Legal business name | Afuola, Katherine Ann |
| Credentials | MS,LMHC,MHP,NCC,SUDP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2018 |
| Last updated | Oct 17th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396243473 | NPPES |
| Washington | MEDICAID | 2140261 |
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