Provider Demographics
NPI:1356620538
Name:HULSE LMFT, QMPH-R, LPC, KATHRYN
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:HULSE LMFT, QMPH-R, LPC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 PAJARO STREET
Mailing Address - Street 2:UPSTAIRS SUITES 1,2,3
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901
Mailing Address - Country:US
Mailing Address - Phone:800-214-5439
Mailing Address - Fax:831-796-0334
Practice Address - Street 1:252 SAN JOSE ST
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3901
Practice Address - Country:US
Practice Address - Phone:800-214-5439
Practice Address - Fax:831-796-0334
Is Sole Proprietor?:No
Enumeration Date:2011-08-05
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100133106H00000X
CA126125106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist