Kevin John Weatherwax

NPI 1770721896 - Counselor - 101YM0800X

NPI Details
NPI 1770721896
Gender Male
Enumeration Date 01/27/2009
Last Updated 01/27/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
709 MISSION ST
SANTA CRUZ CA, 95060-3614, US
Phone (831) 429-8350
Fax
Business Location
709 MISSION ST
SANTA CRUZ CA, 95060-3614, US
Phone
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Kevin John Weatherwax NPI is 1770721896, taxonomy code is 101YM0800X Kevin John Weatherwax physically located at 709 Mission St, Santa Cruz CA, 95060-3614. NPI Number Kevin John Weatherwax has the Individual type.

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1770721896 NPI number is provided on an as is basis without warranty of any kind. 1770721896 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin John Weatherwax are for informational purposes only.