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NPI Code Detail

MEDICARE: KATHERINE MICHELLE PEARSON

MEDICARE: KATHERINE MICHELLE PEARSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist160042CA
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1427699578
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE MICHELLE PEARSON
Provider Business Mailing Address
First Line : PO BOX 284
Second Line :
City : BROWNSVILLE
State : CA
Zip : 95919-0284
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 202 PROVIDENCE MINE RD STE 105
Second Line :
City : NEVADA CITY
State : CA
Zip : 95959-2945
Country : US
Telephone Number : 530-277-2046
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2019
Last Update Date : 12/08/2025

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