Pruitt, Kathleen C

Pruitt, Kathleen C is an sole proprietor health care provider with primary practice located at 222 Kenyon St Nw Suite 7, Olympia WA 98502-4553. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Pruitt, Kathleen C can be contacted via phone (360) 709-9700.

Contact Information

Primary practice address
222 Kenyon St Nw Suite 7 Olympia WA 98502-4553
Fax: (360) 753-7002
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 101YM0800X Washington

Profile Details

NPI number 1083754311
LBN Legal business name Pruitt, Kathleen C
Credentials MSW, LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2007
Last updated Jul 8th, 2007 - about 17 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 1083754311 NPPES
Washington Other 60250371211 UBI

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