Provider Demographics
NPI:1861660763
Name:WEBB, KATHRYN ALISON (LMFT ATR-BC)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:ALISON
Last Name:WEBB
Suffix:
Gender:F
Credentials:LMFT ATR-BC
Other - Prefix:
Other - First Name:KATE
Other - Middle Name:
Other - Last Name:WEBB
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT, ATR-BC
Mailing Address - Street 1:2400 KETTNER BLVD
Mailing Address - Street 2:SUITE 221
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-1249
Mailing Address - Country:US
Mailing Address - Phone:619-231-4278
Mailing Address - Fax:
Practice Address - Street 1:2400 KETTNER BLVD
Practice Address - Street 2:SUITE 221
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-1249
Practice Address - Country:US
Practice Address - Phone:619-231-4278
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-13
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT24190101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAMFT24190OtherLMFT LICENSE