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KATHLEEN CITRENBAUM LCSW

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1457490047

Individual Registrant:
 KATHLEEN  CITRENBAUM LCSW
Gender: F
Sole Proprietor

Location and contact information for practice:
308 W LINE ST SUITE #4 BISHOP, CA 93514-3438 US
Tel: 760-872-4315  Fax: --

Contact information for business:
PO BOX 521  BISHOP, CA 93515-0521 US
Tel: 760-872-4315  Fax: --

Registration Information:
NPI: 1457490047
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
CALCS 15475

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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