Hare, Kathleen Ann

Hare, Kathleen Ann is an individual health care provider with primary practice located at 10700 Willow Valley Rd , Nevada City CA 95959-9451. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hare, Kathleen Ann can be contacted via phone (530) 265-5758.

Contact Information

Primary practice address
10700 Willow Valley Rd Nevada City CA 95959-9451
Phone: (530) 265-5758
Fax: (530) 265-5758
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS12675 California

Profile Details

NPI number 1669438768
LBN Legal business name Hare, Kathleen Ann
Credentials RN,LCSW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 8th, 2007 - about 17 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 1669438768 NPPES
California Other P00230929 RAILROAD MEDICARE #
California Other 62-46058 RAILROAD MEDICARE #
California Other A155223 RAILROAD MEDICARE #

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