Provider Demographics
NPI:1467580290
Name:COUTURE, M CATHERINE (LMFT)
Entity Type:Individual
Prefix:
First Name:M
Middle Name:CATHERINE
Last Name:COUTURE
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 1:805 JACOBSON AVE
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53714-1122
Mailing Address - Country:US
Mailing Address - Phone:608-270-2511
Mailing Address - Fax:
Practice Address - Street 1:6333 ODANA RD
Practice Address - Street 2:SUITE ORION
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-1107
Practice Address - Country:US
Practice Address - Phone:608-270-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI657-124106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI43586600Medicaid