| Kayti Mcdaniel Therapy, A Licensed Clinical Social Worker Corporation | |
|
39899 Balentine Drive Suite 200 Newark CA 94560 | |
| (831) 205-7893 | |
| Not Available |
| Full Name | Kayti Mcdaniel Therapy, A Licensed Clinical Social Worker Corporation |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 39899 Balentine Drive, Newark, California |
| Authorized Official Name and Position | Kayti Mcdaniel (PRESIDENT) |
| Authorized Official Contact | 8312057893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kayti Mcdaniel Therapy, A Licensed Clinical Social Worker Corporation 820 Park Row Suite 483 Salinas CA 93901 Ph: (831) 205-7893 | Kayti Mcdaniel Therapy, A Licensed Clinical Social Worker Corporation 39899 Balentine Drive Suite 200 Newark CA 94560 Ph: (831) 205-7893 |
| NPI Number | 1083371306 |
|---|---|
| Provider Enumeration Date | 11/22/2021 |
| Last Update Date | 11/22/2021 |
| Certification Date | 10/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083371306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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