Provider Demographics
NPI:1437546546
Name:FLANNERY, KATE LORRAINE (LMFT, LPCC)
Entity Type:Individual
Prefix:MRS
First Name:KATE
Middle Name:LORRAINE
Last Name:FLANNERY
Suffix:
Gender:F
Credentials:LMFT, LPCC
Other - Prefix:MISS
Other - First Name:KATE
Other - Middle Name:LORRAINE
Other - Last Name:ARMSTRONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2275 S MAIN ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882
Mailing Address - Country:US
Mailing Address - Phone:951-279-3222
Mailing Address - Fax:951-279-5222
Practice Address - Street 1:2275 S MAIN ST
Practice Address - Street 2:SUITE 201
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882
Practice Address - Country:US
Practice Address - Phone:951-279-1333
Practice Address - Fax:951-279-5222
Is Sole Proprietor?:No
Enumeration Date:2015-04-16
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4368101YP2500X
CA99340106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional