Provider Demographics
NPI:1760263537
Name:MCLEOD, KATHERINE (MA, MFT-INTERN)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:MCLEOD
Suffix:
Gender:F
Credentials:MA, MFT-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:855 S CENTER ST STE 200
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89501-2342
Mailing Address - Country:US
Mailing Address - Phone:775-525-1750
Mailing Address - Fax:
Practice Address - Street 1:855 S CENTER ST STE 101
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89501-2332
Practice Address - Country:US
Practice Address - Phone:775-440-1256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-09
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMI4283106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist