Individual
KAITLYN D HENRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5350 OLD REDWOOD HWY, SUITE 600, PETALUMA, CA 94954
(707) 565-1270
Mailing address
5350 OLD REDWOOD HWY, SUITE 600, PETALUMA, CA 94954
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
312599
CA
104100000X
Social Worker
Primary
120449
CA
Other
Enumeration date
01/18/2023
Last updated
03/30/2026
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