Martin, Kitasha Ann
Martin, Kitasha Ann is an individual health care provider with primary practice located at 3102 E. Highland Avenue Medical Staff Office, Patton CA 92369. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Martin, Kitasha Ann can be contacted via phone (909) 425-7000.Contact Information
Primary practice address
3102 E. Highland Avenue Medical Staff Office
Patton CA 92369
Phone: (909) 425-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 22861 | California |
Profile Details
| NPI number | 1235307992 |
|---|---|
| LBN Legal business name | Martin, Kitasha Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2008 |
| Last updated | Nov 8th, 2016 - about 8 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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