Bothwell, Kristin

Bothwell, Kristin is an individual health care provider with primary practice located at Next-559 Vincent St. Space Base Delta 1, Peterson Space Force Base CO 80914-0000. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bothwell, Kristin can be contacted via phone (617) 413-6275.

Contact Information

Primary practice address
Next-559 Vincent St. Space Base Delta 1 Peterson Space Force Base CO 80914-0000
Phone: (617) 413-6275
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 116933 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X 96216 California

Profile Details

NPI number 1417123191
LBN Legal business name Bothwell, Kristin
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2008
Last updated Sep 20th, 2023 - 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.

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