Provider Demographics
NPI:1710110994
Name:GEER, KATHLEEN S (LMFT)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:S
Last Name:GEER
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 1:711 N SWEETZER AVE
Mailing Address - Street 2:#204
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90069-5953
Mailing Address - Country:US
Mailing Address - Phone:323-951-1253
Mailing Address - Fax:
Practice Address - Street 1:711 N SWEETZER AVE
Practice Address - Street 2:#204
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90069-5953
Practice Address - Country:US
Practice Address - Phone:323-951-1253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-03
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC32026106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist