Provider Demographics
NPI:1093723066
Name:OSTOWARI, CATHERINE MORENO (MA,LMFT)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:MORENO
Last Name:OSTOWARI
Suffix:
Gender:F
Credentials:MA,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32732 MEADOWPARK LN
Mailing Address - Street 2:
Mailing Address - City:TRABUCO CANYON
Mailing Address - State:CA
Mailing Address - Zip Code:92679-3347
Mailing Address - Country:US
Mailing Address - Phone:949-230-7238
Mailing Address - Fax:866-773-1262
Practice Address - Street 1:30211 AVENIDA DE LAS BANDERA
Practice Address - Street 2:SUITE 200
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-2147
Practice Address - Country:US
Practice Address - Phone:949-230-7238
Practice Address - Fax:866-773-1262
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC#42510106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist