Individual
KACEY CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
857 JEFFERSON ST, RED BLUFF, CA 96080-2721
(530) 528-7259
Mailing address
1234 EMPIRE ST, FAIRFIELD, CA 94533-5711
(510) 317-1444
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CA
101YM0800X
Mental Health Counselor
—
—
171400000X
Health & Wellness Coach
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
07/28/2022
Last updated
09/03/2024
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