Provider Demographics
NPI:1598991663
Name:BISSON, CATHERINE M (MA, MFT)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:M
Last Name:BISSON
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27393 YNEZ RD
Mailing Address - Street 2:SUITE 151
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-5604
Mailing Address - Country:US
Mailing Address - Phone:951-695-3337
Mailing Address - Fax:
Practice Address - Street 1:27393 YNEZ RD
Practice Address - Street 2:SUITE 151
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-5604
Practice Address - Country:US
Practice Address - Phone:951-695-3337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-03
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC30997106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist