Provider Demographics
NPI:1083024186
Name:BARTON, KATHERINE DAWN (MA, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:DAWN
Last Name:BARTON
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54999 MARTINEZ TRL SPC 67
Mailing Address - Street 2:
Mailing Address - City:YUCCA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92284-8422
Mailing Address - Country:US
Mailing Address - Phone:760-409-2280
Mailing Address - Fax:
Practice Address - Street 1:50707 LAUREL DR
Practice Address - Street 2:
Practice Address - City:MORONGO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92256-9146
Practice Address - Country:US
Practice Address - Phone:760-409-2280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-29
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53007106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist