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Provider Information for 1184331969


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KATHERINE CARTER LMFT


Sex: Female

NPI: 1184331969
Last Updated: 2022-11-01
Certification Date: 2022-11-01

Details

NameValue
NPI1184331969
Enumeration Date2022-11-01
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address PO BOX 50462
PASADENA, CA 91115-0462
United States

Phone: 626-470-7725 | Fax:
 
Primary Practice Address 867 ATCHISON ST
PASADENA, CA 91104-2314
United States

Phone: 626-470-7725 | Fax:
 
Secondary Practice Address(es)

123 S CHESTER AVE APT 3
PASADENA, CA 91106-3134
United States

Phone: 626-470-7725 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist CA51278