Provider Demographics
NPI:1003036468
Name:VOHS, KATHLEEN (MFTI)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:
Last Name:VOHS
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2118 WILLOW PASS RD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-2408
Mailing Address - Country:US
Mailing Address - Phone:925-798-7500
Mailing Address - Fax:925-687-9082
Practice Address - Street 1:2118 WILLOW PASS RD
Practice Address - Street 2:SUITE 500
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-2408
Practice Address - Country:US
Practice Address - Phone:925-798-7500
Practice Address - Fax:925-687-9082
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF41833106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist