Kathleen Teresa Poole, L.C.S.W.
Social Worker, Clinical in Wasco, CA. Individual provider (NPI-1).
NPI number1043664584
StatusActive
Last updated in NPPESSep 26, 2024
Details
- NPI
- 1043664584
- Entity type
- Individual (NPI-1)
- Name
- Kathleen Teresa Poole
- Credential
- L.C.S.W.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 21, 2016
- Certification date
- Sep 26, 2024
- Last updated
- Sep 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 77298 | CA | Yes |
| 1041C0700X | Social Worker, Clinical | – | CA |
Other names
- Kathleen Teresa Poole (Other Name)
Practice location
Wasco State Prison701 Scofield Avenue
Wasco, CA 93280
Phone 661-758-8400
Mailing address
2713 Gemline AveBakersfield, CA 93304-5416
Phone 661-247-9347
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