Provider Demographics
NPI:1033188370
Name:BARNES, MARY CATHERINE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:CATHERINE
Last Name:BARNES
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19504 STATTON ACRES RD
Mailing Address - Street 2:
Mailing Address - City:LAKEHEAD
Mailing Address - State:CA
Mailing Address - Zip Code:96051
Mailing Address - Country:US
Mailing Address - Phone:530-224-9341
Mailing Address - Fax:530-223-0977
Practice Address - Street 1:5200 CHURN CREEK RD
Practice Address - Street 2:STE E
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002
Practice Address - Country:US
Practice Address - Phone:530-224-9341
Practice Address - Fax:530-223-0977
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC13104106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist