KATHLEEN HALD


Address: 204 N Mount Vernon Ave, 112 East Merrit Street, Prescott, AZ 86301-3108
Phone: 9289100198

KATHLEEN HALD (NPI# 1518364652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518364652
Entity Type Individual
Full Name KATHLEEN HALD
Other Name MRS. KATHLEEN PFISTER
Credential LAC
Practice Address 204 N Mount Vernon Ave
112 East Merrit Street
Prescott
AZ 86301-3108
Mailing Address 204 N Mount Vernon Ave
Prescott
AZ 86301-3108
Practice Telephone 9289100198
Mailing Telephone 9289100198
Enumeration Date 2014-12-03
Last Update Date 2014-12-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
LAC-14477 AZ Behavioral Health & Social Service Providers

Office Location

Street Address 204 N MOUNT VERNON AVE
112 EAST MERRIT STREET
City PRESCOTT
State AZ
Zip Code 86301-3108

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City PRESCOTT
Zip Code 86301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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