Henry, Ketlyn R
Henry, Ketlyn R is an individual health care provider with primary practice located at 830 S Olive St , Los Angeles CA 90014-3006. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Henry, Ketlyn R can be contacted via phone (213) 213-0581.Contact Information
Primary practice address
830 S Olive St
Los Angeles CA 90014-3006
Phone: (213) 213-0581
Fax: (213) 213-0580
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1487908703 |
|---|---|
| LBN Legal business name | Henry, Ketlyn R |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2012 |
| Last updated | Nov 8th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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