Provider Demographics
NPI:1497065718
Name:MORGAN, KATHARINE ELAINE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:KATHARINE
Middle Name:ELAINE
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:KATHARYN
Other - Middle Name:
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1305 CAMINITO GABALDON UNIT F
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-1422
Mailing Address - Country:US
Mailing Address - Phone:858-735-3628
Mailing Address - Fax:619-685-0042
Practice Address - Street 1:2333 1ST AVE
Practice Address - Street 2:STE 203
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-1596
Practice Address - Country:US
Practice Address - Phone:858-735-3628
Practice Address - Fax:619-685-0042
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-20
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48038106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist