Kitchen, Rosa
Kitchen, Rosa is an sole proprietor health care provider with primary practice located at 4113 Scotts Valley Dr Ste 205 , Scotts Valley CA 95066-4547. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Kitchen, Rosa can be contacted via phone (831) 254-2577.Contact Information
Primary practice address
4113 Scotts Valley Dr Ste 205
Scotts Valley CA 95066-4547
Phone: (831) 254-2577
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFT35854 | California |
Profile Details
NPI number | 1982720835 |
---|---|
LBN Legal business name | Kitchen, Rosa |
Credentials | Marriage and Family Therapist (MFT) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 22nd, 2007 |
Last updated | Jul 8th, 2007 - about 18 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 | 1982720835 | NPPES |
California | Other | 46885 | MANAGED HEALTH NETWORK |
California | Other | 119242 | MANAGED HEALTH NETWORK |
California | Other | 1622-01 | MANAGED HEALTH NETWORK |
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