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Kevin John Weatherwax
Mental Health Counselor in Santa Cruz, California
NPI 1770721896

Kevin John Weatherwax is a Mental Health Counselor based in Santa Cruz, CA and is specialized in Mental Health. Kevin John Weatherwax practices in Santa Cruz, CA. The NPI Number for Kevin John Weatherwax is 1770721896 and holds a License No. (California).

The current practice location address for Kevin John Weatherwax is 709 Mission St, Santa Cruz, CA and can be reached out via phone at 831-429-8350.

Location: 709 Mission St, Santa Cruz, CA, 95060-3614
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770721896
Provider Name
Kevin John Weatherwax
Credential
Provider Entity Type
Individual
Gender
Male
Address
709 Mission St, Santa Cruz, CA, 95060-3614
Phone Number
831-429-8350
Fax Number
Provider Enumeration Date
01/27/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
709 Mission St
City
Santa Cruz
State
California
Zip
95060-3614
Phone Number
831-429-8350
Fax Number
person
Provider Business Mailing Address Details
Address
709 Mission St
City
Santa Cruz
State
California
Zip
95060-3614
Phone Number
831-429-8350
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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