Provider Demographics
NPI:1083803514
Name:DOWNING, KATHRYN A (LMFT # 24403)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:A
Last Name:DOWNING
Suffix:
Gender:F
Credentials:LMFT # 24403
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4444 RIVERSIDE DR
Mailing Address - Street 2:SUITE # 205
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4048
Mailing Address - Country:US
Mailing Address - Phone:818-845-0151
Mailing Address - Fax:818-845-7158
Practice Address - Street 1:4444 RIVERSIDE DR
Practice Address - Street 2:SUITE 205
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-4048
Practice Address - Country:US
Practice Address - Phone:818-845-0151
Practice Address - Fax:818-845-7158
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24403106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist