Provider Demographics
NPI:1497496863
Name:CARRANZA, KATRINA CATALAN (MA)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:CATALAN
Last Name:CARRANZA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 290675
Mailing Address - Street 2:
Mailing Address - City:YIGO
Mailing Address - State:GU
Mailing Address - Zip Code:96929-3041
Mailing Address - Country:US
Mailing Address - Phone:671-864-3434
Mailing Address - Fax:
Practice Address - Street 1:231AJ CHALAN LA CHANCH
Practice Address - Street 2:
Practice Address - City:YIGO
Practice Address - State:GU
Practice Address - Zip Code:96929
Practice Address - Country:US
Practice Address - Phone:671-864-3434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-07
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor