Katie B Hulett
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Cotati, CA
NPI 1679190821 · NPPES record last updated Jul 2, 2020
Key facts
- NPI
- 1679190821
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 129422 (CA)
- Practice address
- 8788 Logan PL
Cotati, CA 94931-9663 - Phone
- (707) 732-3328
- NPI assigned
- Jul 2, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129422 | CA | MD | Neonatal-Perinatal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 129422 | CA | Yes |
Addresses
Primary practice location
8788 Logan PL
Cotati, CA 94931-9663
Mailing address
8788 Logan PL
Cotati, CA 94931-9663
Phone (707) 732-3328
Other providers in Cotati, CA
- Faith Harville-Polk
- Wendy Lee Haynes
- Katheen R. Haynie
- R Mitchell Hiserote
- Donna Susan Housel
- Kayla Huntington
- Randelle Jansen
- Lori Ann Jespersen
- Brian Johnson
- Frances S Judd
All providers in Cotati, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.