Individual
KATIE OPDYCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
106 REY CT, SANTA CRUZ, CA 95062-3226
(269) 569-6885
Mailing address
106 REY CT, SANTA CRUZ, CA 95062-3226
(269) 569-6885
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225X00000X
Occupational Therapist
Primary
OT 13985
CA
Other
Enumeration date
08/13/2016
Last updated
10/20/2016
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