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General NPI Number Information
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NPI Number | 1972417533
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Entity Type | Organization
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Legal Business Name | KATS COTTAGE OF BEHAVIORAL HEALTH SERVICES
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 2213 EVERGREEN AVE SE
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City | PORT ORCHARD
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State | WA
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Zip | 98366-3024
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Country | US
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Telephone | 203-806-5287
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Fax |
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Provider Business Mailing Address
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Address Line | 2213 EVERGREEN AVE SE
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City | PORT ORCHARD
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State | WA
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Zip | 98366-3024
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Country | US
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Telephone | 203-806-5287
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Fax |
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Authorized Official
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Title or Position | CEO & OWNER
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Name | KATHRYN SODERBERG
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Credential | LICSW, MHP,
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Telephone | 203-806-5287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State | NULL
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