MS. KATHLEEN KENNEDY CHAN
NPI 1417255845
Counselor - Addiction (Substance Use Disorder) in Antioch, CA

Active since March 09, 2011
3707 SUNSET LN, ANTIOCH, CA 94509(925) 522-0124 Get Directions Write a Review

NPPES record last updated: March 9, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Kathleen Kennedy Chan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KATHLEEN KENNEDY CHAN (NPI 1417255845) is an individual addiction (substance use disorder) provider in Antioch, California and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1417255845
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. KATHLEEN KENNEDY CHAN
Location Address3707 SUNSET LNAntioch, CA 94509-6101
Mailing Address210 Powell AvePleasant Hill, CA 94523-3626 · (925) 212-9036
Sole ProprietorYes
Enumeration DateMarch 9, 2011
NPI 1417255845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3707 SUNSET LN, Antioch, CA 94509

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
3707 SUNSET LN
ANTIOCH, CA 94509
Counselor (Addiction (Substance Use Disorder))
3707 SUNSET LN
ANTIOCH, CA 94509
Counselor (Addiction (Substance Use Disorder))
3707 SUNSET LN
ANTIOCH, CA 94509
Counselor (Addiction (Substance Use Disorder))
3707 SUNSET LN
ANTIOCH, CA 94509
Licensed Vocational Nurse
3707 SUNSET LN
ANTIOCH, CA 94509
Licensed Vocational Nurse
3707 SUNSET LN
ANTIOCH, CA 94509
Licensed Vocational Nurse
3707 SUNSET LN
ANTIOCH, CA 94509
Licensed Vocational Nurse
3707 SUNSET LN
ANTIOCH, CA 94509

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Chan's NPI number?

The NPI number for Kathleen Chan is 1417255845. It was assigned to this individual provider in the NPPES registry on March 9, 2011.

Where is Kathleen Chan located?

Kathleen Chan practices at 3707 Sunset Ln, Antioch, CA 94509. The listed phone number is (925) 522-0124.

What is Kathleen Chan's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kathleen Chan was last updated on March 9, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.