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Individual
MS. KATHLEEN ROSALIND TRUAX
Active
Individual
MS. KATHLEEN ROSALIND TRUAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFT
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
22988
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11246862
BLUE CROSS
CA
01
—
363974
MHN
CA
01
—
ZZZ52646Z
BLUE SHIELD
CA
Enumeration date
10/25/2006
Last updated
07/08/2007
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