Provider Demographics
NPI:1174698195
Name:BUYS, KATHRYN EVANS (LMFT)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:EVANS
Last Name:BUYS
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 1:3721 SUNSET LN
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-6107
Mailing Address - Country:US
Mailing Address - Phone:650-794-2977
Mailing Address - Fax:
Practice Address - Street 1:3721 SUNSET LN
Practice Address - Street 2:SUITE 101
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-6107
Practice Address - Country:US
Practice Address - Phone:650-794-2977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT #34173106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist