Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | A021530116 | CA |
NPI | 1003405127 |
---|---|
Provider Name | Kate Englund |
First Address | Salinas, CA 93901-3714 |
Second Address | Salinas, CA 93901-3714 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2021 |
Last Update Date | 13/01/2021 |