KATHLEEN MAY BROONER RAS NPI 1639370505

NPI Information

NPI: 1639370505
Provider Name: KATHLEEN MAY BROONER, RAS
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
675 1ST ST
UPPER LAKE, CA
ZIP 95485
Phone: (707) 275-0506
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Kathleen May Brooner, RAS is an addiction (substance use disorder) counselor in Upper Lake, CA. Kathleen May Brooner, RAS NPI is 1639370505. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

675 1ST ST
UPPER LAKE, CA
ZIP 95485-586
Phone: (707) 275-0506

The enumeration date for this NPI number is 5/30/2007 and was last updated on 11/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		No
2	171M00000X	Case Manager/Care Coordinator		No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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