Simonson, Katharine B
Simonson, Katharine B is an individual health care provider with primary practice located at 1841 Madora Ave , Douglas WY 82633. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Simonson, Katharine B can be contacted via phone (307) 358-2846.Contact Information
Primary practice address
1841 Madora Ave
Douglas WY 82633
Phone: (307) 358-2846
Fax: (307) 358-1144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | LPC-1638 | Wyoming |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC-1638 | Wyoming |
Profile Details
| NPI number | 1215310065 |
|---|---|
| LBN Legal business name | Simonson, Katharine B |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2015 |
| Last updated | Dec 7th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215310065 | NPPES |
| Wyoming | MEDICAID | 106402908 | |
| Wyoming | MEDICAID | 106402907 |
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