Moffatt, Katelynn

Moffatt, Katelynn is an individual health care provider with primary practice located at 150 S Ripley Blvd , Alpena MI 49707-3406. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moffatt, Katelynn can be contacted via phone (989) 340-1466.

Contact Information

Primary practice address
150 S Ripley Blvd Alpena MI 49707-3406
Phone: (989) 340-1466
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1861910465
LBN Legal business name Moffatt, Katelynn
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 3rd, 2017
Last updated Apr 18th, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861910465 NPPES
Michigan Other 6801108684 CLINICAL SOCIAL WORKER LICENSE

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