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1386918571 NPI number — KATIE LYNN WUETHRICH M.S.

NPI Number: 1386918571
Health Care Provider/Practitioner: KATIE LYNN WUETHRICH M.S.

Information about “1386918571” NPI (KATIE LYNN WUETHRICH M.S.) exists in 1386918571 in HTML format HTML  |  1386918571 in plain Text format TXT  |  1386918571 in PDF (Portable Document Format) PDF  |  1386918571 in an XML format XML  formats.

NPI Number : 1386918571 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386918571",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WUETHRICH",
    "FirstName": "KATIE",
    "MiddleName": "LYNN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1375 E GRAND AVE STE 103-422",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ARROYO GRANDE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93420-2421",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "805-345-5671",
    "MailingAddressFaxNumber": "805-429-2678",
    "FirstLinePracticeLocationAddress": "865 SANTA ROSA ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN LUIS OBISPO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93401-2805",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "805-345-5671",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/06/2012",
    "LastUpdateDate": "03/02/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "IMF71112",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "86400",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "86400",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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