Provider Demographics
NPI:1396030672
Name:MANESS, CATHERINE (LMFT)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:MANESS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:CAT
Other - Middle Name:
Other - Last Name:MANESS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:123 BAY PLACE
Mailing Address - Street 2:STE 6
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94610
Mailing Address - Country:US
Mailing Address - Phone:510-859-3880
Mailing Address - Fax:
Practice Address - Street 1:123 BAY PLACE
Practice Address - Street 2:STE 6
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94610
Practice Address - Country:US
Practice Address - Phone:510-859-3880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-14
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC92638106H00000X
CAIMF71619390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program