Individual
KATHLEEN D. ALTIERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CACIII
Contact information
Practice address
620 LONE OAKS LOOP, SILVERTON, OR 97381-1469
(925) 837-9253
Mailing address
620 LONE OAKS LOOP, SILVERTON, OR 97381-1469
(925) 837-9253
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CACIII 6556
CO
1041C0700X
Clinical Social Worker
Primary
L12979
OR
1041C0700X
Clinical Social Worker
LCSW769
CO
Other
Enumeration date
08/23/2007
Last updated
04/02/2022
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