Provider Demographics
NPI:1679856876
Name:LOREE, KATE S (LMFT)
Entity Type:Individual
Prefix:MS
First Name:KATE
Middle Name:S
Last Name:LOREE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5060 KESTER AVE APT 203
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-1696
Mailing Address - Country:US
Mailing Address - Phone:310-422-7269
Mailing Address - Fax:
Practice Address - Street 1:15720 VENTURA BLVD STE 416
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-4708
Practice Address - Country:US
Practice Address - Phone:310-422-7269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-23
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 50118106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist