Provider Demographics
NPI:1346004793
Name:PADMOS, KATHRYN (MFT-INTERN,CADC-I)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:
Last Name:PADMOS
Suffix:
Gender:F
Credentials:MFT-INTERN,CADC-I
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:EVANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14103 GLOWING AMBER CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-6104
Mailing Address - Country:US
Mailing Address - Phone:408-315-9376
Mailing Address - Fax:
Practice Address - Street 1:3700 SAFE HARBOR WAY
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89512-1137
Practice Address - Country:US
Practice Address - Phone:775-787-9411
Practice Address - Fax:775-787-9445
Is Sole Proprietor?:No
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMI4258101YM0800X
NV07307-I101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)