Phillips, Kate Ann

Phillips, Kate Ann is an individual health care provider with primary practice located at 3340 Kemper St , San Diego CA 92110-4906. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Phillips, Kate Ann can be contacted via phone (619) 523-8121.

Contact Information

Primary practice address
3340 Kemper St San Diego CA 92110-4906
Phone: (619) 523-8121
Fax: (619) 523-8742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 040736 Oregon
Other Service Providers / Case Manager/Care Coordinator 171M00000X 040736 Oregon

Profile Details

NPI number 1093852261
LBN Legal business name Phillips, Kate Ann
Credentials CADC1
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Mar 19th, 2012 - about 13 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 1093852261 NPPES
California Other A6520711 CADCII
California Other 040736 CADCII

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