Wood, Kathleen M
Wood, Kathleen M is an sole proprietor health care provider with primary practice located at 15145A Lakeshore Dr , Clearlake CA 95422-8106. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Wood, Kathleen M can be contacted via phone (707) 994-0709.Contact Information
Primary practice address
15145A Lakeshore Dr
Clearlake CA 95422-8106
Phone: (707) 994-0709
Fax: (707) 944-7096
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1437210721 |
|---|---|
| LBN Legal business name | Wood, Kathleen M |
| Credentials | Bachelor of Arts (BA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437210721 | NPPES |
| California | Other | 101YM0800X | TAXONOMY NUMBER |
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