Provider Demographics
NPI:1710143961
Name:ROSOFF, CATHERINE JOANNE (MS, LMFT)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:JOANNE
Last Name:ROSOFF
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:636 PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:UKIAH
Mailing Address - State:CA
Mailing Address - Zip Code:95482-7640
Mailing Address - Country:US
Mailing Address - Phone:707-367-0357
Mailing Address - Fax:
Practice Address - Street 1:216 W PERKINS ST
Practice Address - Street 2:
Practice Address - City:UKIAH
Practice Address - State:CA
Practice Address - Zip Code:95482-4800
Practice Address - Country:US
Practice Address - Phone:707-367-0357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-06
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 37934106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist