Provider Demographics
NPI:1093330987
Name:FENECH, KATE FRANCES (LMFT)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:FRANCES
Last Name:FENECH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:FRANCES
Other - Last Name:REARDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AMFT
Mailing Address - Street 1:3145 GEARY BLVD # 230
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-3316
Mailing Address - Country:US
Mailing Address - Phone:650-815-5071
Mailing Address - Fax:
Practice Address - Street 1:44 LUPINE AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-2721
Practice Address - Country:US
Practice Address - Phone:650-815-5071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-16
Last Update Date:2022-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT119806101YM0800X
CAAMFT119994106H00000X
CA134210106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health