Provider Demographics
NPI:1083074694
Name:MOLANO, KATIE M (LMFT)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:M
Last Name:MOLANO
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 1:718 W CENTER AVE STE C
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-6050
Mailing Address - Country:US
Mailing Address - Phone:559-723-4460
Mailing Address - Fax:
Practice Address - Street 1:718 W CENTER AVE STE C
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-6050
Practice Address - Country:US
Practice Address - Phone:559-723-4460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-25
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA109120106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist