Doctor Name: | MR. WILLIAM RICHARD KITTREDGE |
NPI Number: | 1962709618 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 94-249 Waikele Rd #a307 Waipahu, HI - 967972642 |
Business Phone Number: | 8087211641 |
Business Fax Number: | |
Mailing Address: | 94-249 Waikele Rd, #a307 WAIPAHU |
State: | HI |
Postal Code: | 967972642 |
Phone Number: | 8087211641 |
Fax Number: | |
NPI Enumeration Date: | 02/15/2011 |
NPI Last Update Date: | 02/15/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
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Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |