Peters, Kathy Eileen

Peters, Kathy Eileen is an individual health care provider with primary practice located at 1220 Morello Ave , Martinez CA 94553-4707. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Peters, Kathy Eileen can be contacted via phone (925) 335-3330.

Contact Information

Primary practice address
1220 Morello Ave Martinez CA 94553-4707
Phone: (925) 335-3330
Fax: (925) 608-5984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1700097938
LBN Legal business name Peters, Kathy Eileen
Credentials CADC II-CA
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2007
Last updated Jun 27th, 2023 - about last year

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 1700097938 NPPES
California MEDICAID 172V00000X

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