Individual
KAITLYNE BODOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1055 W HENDERSON AVE, PORTERVILLE, CA 93257-1490
(559) 788-1200
(559) 788-1200
Mailing address
1055 W HENDERSON AVE, PORTERVILLE, CA 93257-1490
(559) 788-1200
(559) 749-9772
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
42742
CA
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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