Healthcare Provider Details

I. General information

NPI: 1730730136
Provider Name (Legal Business Name): MS. KASEY MICHELLE HOPKINS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. KASEY MICHLLE ARNOLD

II. Dates (important events)

Enumeration Date: 09/26/2019
Last Update Date: 09/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2885 CHURN CREEK RD STE A
REDDING CA
96002-1147
US

IV. Provider business mailing address

2885 CHURN CREEK RD STE A
REDDING CA
96002-1147
US

V. Phone/Fax

Practice location:
  • Phone: 530-221-6303
  • Fax: 530-221-1372
Mailing address:
  • Phone: 530-221-6303
  • Fax: 530-221-1372

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: