Provider Demographics
NPI:1275177537
Name:MAGNANI, KATHRYN (LMFT)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:MAGNANI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:KATY
Other - Middle Name:
Other - Last Name:MAGNANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:43 SAN ROSSANO DR
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-1912
Mailing Address - Country:US
Mailing Address - Phone:425-830-4771
Mailing Address - Fax:
Practice Address - Street 1:7 W FIGUEROA ST STE 300
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-3189
Practice Address - Country:US
Practice Address - Phone:805-243-8171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-30
Last Update Date:2021-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA115459106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist