Ahern, Kathleen Marie

Ahern, Kathleen Marie is an sole proprietor health care provider with primary practice located at 3601 Calle Tecate # 201 , Camarillo CA 93012-5056. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ahern, Kathleen Marie can be contacted via phone (805) 289-0120.

Contact Information

Primary practice address
3601 Calle Tecate # 201 Camarillo CA 93012-5056
Phone: (805) 289-0120
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X California
Behavioral Health & Social Service Providers / Clinical 1041C0700X California

Profile Details

NPI number 1184388969
LBN Legal business name Ahern, Kathleen Marie
Credentials MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2021
Last updated Jan 2nd, 2024 - about 10 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184388969 NPPES
California Other 56CC MEDICAL

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