Kettle, Traci Alene

Kettle, Traci Alene is an sole proprietor health care provider with primary practice located at 260 W 4Th St , Oxnard CA 93030-5908. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kettle, Traci Alene can be contacted via phone (805) 486-9405.

Contact Information

Primary practice address
260 W 4Th St Oxnard CA 93030-5908
Phone: (805) 486-9405
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1679622971
LBN Legal business name Kettle, Traci Alene
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated Apr 8th, 2011 - about 14 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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