Provider Information for 1417531336
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CATHRYN CHARETTE AMFT, ALPCC
Sex: Female
NPI: 1417531336
Last Updated: 2021-05-06
Certification Date: 2021-05-06
Certification Date: 2021-05-06
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1417531336 | ||||||||||||||
| Enumeration Date | 2021-05-06 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 2350 HILLSIDE DR EUREKA, CA 95501-3225 United States Phone: 707-321-9356 | Fax: | ||||||||||||||
| Primary Practice Address | 2350 HILLSIDE DR EUREKA, CA 95501-3225 United States Phone: 707-321-9356 | Fax: | ||||||||||||||
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