Healthcare Provider Details

I. General information

NPI: 1629243605
Provider Name (Legal Business Name): MS. KATHRYN LATANE ORREN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2008
Last Update Date: 01/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 TOWER WAY SUITE 110
BAKERSFIELD CA
93309-1597
US

IV. Provider business mailing address

1001 TOWER WAY SUITE 110
BAKERSFIELD CA
93309-1597
US

V. Phone/Fax

Practice location:
  • Phone: 661-859-2135
  • Fax: 661-323-1302
Mailing address:
  • Phone: 661-859-2135
  • Fax: 661-323-1302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: