Provider Demographics
NPI:1003257296
Name:FLORES, KATHERINE MARIE (MS MFT)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:MARIE
Last Name:FLORES
Suffix:
Gender:F
Credentials:MS MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 S LAKE AVE
Mailing Address - Street 2:SUITE 284B
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-3530
Mailing Address - Country:US
Mailing Address - Phone:626-689-0459
Mailing Address - Fax:
Practice Address - Street 1:350 S LAKE AVE
Practice Address - Street 2:SUITE 284B
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-3530
Practice Address - Country:US
Practice Address - Phone:626-689-0459
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist