| Kathryn Lige Licensed Clinical Social Worker Inc. | |
|
10190 N Foothill Blvd Apt F5 Cupertino CA 95014-0819 | |
| (650) 395-8022 | |
| Not Available |
| Full Name | Kathryn Lige Licensed Clinical Social Worker Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10190 N Foothill Blvd Apt F5, Cupertino, California |
| Authorized Official Name and Position | Kathryn Lige (PRESIDENT) |
| Authorized Official Contact | 6503958022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Lige Licensed Clinical Social Worker Inc. 2310 Homestead Rd. Ste. C1, #410 Los Altos CA 94024 Ph: (650) 395-8022 | Kathryn Lige Licensed Clinical Social Worker Inc. 10190 N Foothill Blvd Apt F5 Cupertino CA 95014-0819 Ph: (650) 395-8022 |
| NPI Number | 1871203216 |
|---|---|
| Provider Enumeration Date | 11/28/2022 |
| Last Update Date | 11/28/2022 |
| Certification Date | 11/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871203216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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