Menotti, Kristian Bowden

Menotti, Kristian Bowden is an individual health care provider with primary practice located at 125 Willow Rd Ste 205 , Menlo Park CA 94025-2799. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Menotti, Kristian Bowden can be contacted via phone (919) 696-4712.

Contact Information

Primary practice address
125 Willow Rd Ste 205 Menlo Park CA 94025-2799
Phone: (919) 696-4712
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C005085 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X 61728 California

Profile Details

NPI number 1154475531
LBN Legal business name Menotti, Kristian Bowden
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jul 21st, 2022 - about 2 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 1154475531 NPPES
North Carolina MEDICAID 3606303

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