Provider Demographics
NPI:1518292176
Name:MORGAN, KALI (MA)
Entity Type:Individual
Prefix:
First Name:KALI
Middle Name:
Last Name:MORGAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:KALI
Other - Middle Name:
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:3026 UNIVERSITY AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92104-3002
Mailing Address - Country:US
Mailing Address - Phone:619-849-1775
Mailing Address - Fax:619-849-1775
Practice Address - Street 1:3026 UNIVERSITY AVE
Practice Address - Street 2:SUITE B
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92104-3002
Practice Address - Country:US
Practice Address - Phone:619-849-1775
Practice Address - Fax:619-849-1775
Is Sole Proprietor?:No
Enumeration Date:2009-10-14
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 44714106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist