Estabrook, Kathleen E
Estabrook, Kathleen E is an individual health care provider with primary practice located at 515 Martin Dr , Xenia OH 45385-1615. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Estabrook, Kathleen E can be contacted via phone (937) 352-2908.Contact Information
Primary practice address
515 Martin Dr
Xenia OH 45385-1615
Phone: (937) 352-2908
Fax: (937) 352-2930
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | S-13433 | Ohio |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | E-3754-SUPV | Ohio |
Profile Details
| NPI number | 1427164227 |
|---|---|
| LBN Legal business name | Estabrook, Kathleen E |
| Credentials | PCC-S,LSW,LICDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2006 |
| Last updated | Feb 15th, 2012 - about 12 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 | 1427164227 | NPPES |
| Other | 11823305 | CAQH # |
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