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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427164227 NPPES
Other 11823305 CAQH #

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