Doctor Name: | MR. MILTON KALISH |
NPI Number: | 1023431467 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 11335 |
Business Practice Address: | 613 G St Ste. A Davis, CA - 956163771 |
Business Phone Number: | 5307531331 |
Business Fax Number: | |
Mailing Address: | 613 G Street,, Ste. A DAVIS |
State: | CA |
Postal Code: | 95616 |
Phone Number: | 5307531331 |
Fax Number: | 5307927154 |
NPI Enumeration Date: | 01/21/2014 |
NPI Last Update Date: | 01/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 11335 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |