# KAISER PERMANENTE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750445094
- **Authorized official:** STUART BUTTLAIRE PH. D. (DIRECTOR, INPATIENT SERVICES)
- **Authorized official phone:** (925) 372-1103

## Contact information

- **Practice address:** 200 MUIR RD, MARTINEZ, CA 94553-4614
- **Practice address phone:** (707) 558-8991
- **Mailing address:** 206 LA BREA ST, VALLEJO, CA 94591-8204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | LCS13038 | CA | — |
| 302R00000X | Health Maintenance Organization | LCS13038 | CA | Yes |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 05/05/2021