Provider Information for 1972627370
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CATHERINE LOUISE lcsw
Other Names:Former Name:CATHERINE LOUISE lcswSex: Female
NPI: 1972627370
Last Updated: 2017-06-16
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1972627370 | ||||||||||||
| Enumeration Date | 2007-03-19 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1400 EMELINE AVE SANTA CRUZ, CA 95060-1976 United States Phone: 831-454-4170 | Fax:831-454-4663 | ||||||||||||
| Primary Practice Address | 95-5583 MAMALAHOA HWY NAALEHU, HI 96772 United States Phone: 831-588-8382 | Fax: | ||||||||||||
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