Provider Demographics
NPI:1962696781
Name:KITAO, EIKO BARBARA
Entity type:Individual
Prefix:MISS
First Name:EIKO
Middle Name:BARBARA
Last Name:KITAO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:816 CACIQUE ST
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93103-3622
Mailing Address - Country:US
Mailing Address - Phone:805-963-1836
Mailing Address - Fax:805-963-1653
Practice Address - Street 1:816 CACIQUE ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103-3622
Practice Address - Country:US
Practice Address - Phone:805-963-1836
Practice Address - Fax:805-963-1653
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2007-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)