Provider Demographics
NPI:1811188303
Name:BABAYANS, KATHERINE BRAND (MFT)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:BRAND
Last Name:BABAYANS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1203
Mailing Address - Street 2:
Mailing Address - City:YREKA
Mailing Address - State:CA
Mailing Address - Zip Code:96097-1203
Mailing Address - Country:US
Mailing Address - Phone:530-643-6590
Mailing Address - Fax:
Practice Address - Street 1:1833 S OREGON ST
Practice Address - Street 2:
Practice Address - City:YREKA
Practice Address - State:CA
Practice Address - Zip Code:96097-3446
Practice Address - Country:US
Practice Address - Phone:530-842-3455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-08
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51245106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist