Provider Demographics
NPI:1508878737
Name:UNO, CATHERINE D (MA)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:D
Last Name:UNO
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 1:1016 W UNIVERSITY AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-2996
Mailing Address - Country:US
Mailing Address - Phone:928-890-7432
Mailing Address - Fax:928-774-1148
Practice Address - Street 1:1016 W UNIVERSITY AVE STE 202
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001
Practice Address - Country:US
Practice Address - Phone:928-890-7432
Practice Address - Fax:928-774-1148
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-10325101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional