Horlacher, Kathleen M

Horlacher, Kathleen M is an sole proprietor health care provider with primary practice located at 2258 E Jensen St , Mesa AZ 85213-3448. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Horlacher, Kathleen M can be contacted via phone (480) 980-3613.

Contact Information

Primary practice address
2258 E Jensen St Mesa AZ 85213-3448
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW 2255 Arizona

Profile Details

NPI number 1811058464
LBN Legal business name Horlacher, Kathleen M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2006
Last updated Jan 20th, 2016 - about 9 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 1811058464 NPPES
Arizona MEDICAID 646416

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