| Doctor Name: | MS. KATHLEEN J NEEDHAM |
| NPI Number: | 1033371471 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.A.D.C |
| License Number: | 1026-L |
| Business Practice Address: | 342 Bens Way Fernley, NV - 894086628 |
| Business Phone Number: | 7757223698 |
| Business Fax Number: | 7757223698 |
| Mailing Address: | 342 Bens Way, FERNLEY |
| State: | NV |
| Postal Code: | 894086628 |
| Phone Number: | 7757223698 |
| Fax Number: | |
| NPI Enumeration Date: | 06/26/2008 |
| NPI Last Update Date: | 06/07/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1026-L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |