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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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