Individual provider · Type 1 NPI

Kathleen Ann Eagle, PSYD

Mental Health Counselor · San Rafael, CA

NPI number 1619024890 Active

Practice location

914 Mission Ave
San Rafael, CA 94901-6106

Mailing address

16 Florence Ave
San Anselmo, CA 94960-1809

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1619024890

Kathleen Ann Eagle, PSYD's National Provider Identifier is 1619024890, issued on Jan 3, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Rafael, CA. The record was last updated on Jul 8, 2007.