Lively, Katherine M

Lively, Katherine M is an sole proprietor health care provider with primary practice located at 217 2Nd St Apt 2 , Davis CA 95616-4801. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Lively, Katherine M can be contacted via phone (916) 806-1571.

Contact Information

Primary practice address
217 2Nd St Apt 2 Davis CA 95616-4801
Phone: (916) 806-1571
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 82455 California

Profile Details

NPI number 1659774461
LBN Legal business name Lively, Katherine M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2014
Last updated Jun 24th, 2024 - about 2 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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