Provider Demographics
NPI:1114901683
Name:GARCIA, CATHERINE PATRICIA (LMFT)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:PATRICIA
Last Name:GARCIA
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 1:1140 WADE CIRCLE NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112
Mailing Address - Country:US
Mailing Address - Phone:505-934-1712
Mailing Address - Fax:
Practice Address - Street 1:1140 WADE CIRCLE NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112
Practice Address - Country:US
Practice Address - Phone:505-934-1712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2007-07-08
Deactivation Date:2006-01-24
Deactivation Code:
Reactivation Date:2007-03-05
Provider Licenses
StateLicense IDTaxonomies
NM0086431106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist