Provider Demographics
NPI:1891828539
Name:SILVESTRI, KATHRYN KATONA (MFT)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:KATONA
Last Name:SILVESTRI
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 1:13621 WOLF RD
Mailing Address - Street 2:
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95949-8187
Mailing Address - Country:US
Mailing Address - Phone:530-318-5957
Mailing Address - Fax:530-268-8040
Practice Address - Street 1:1130 LINCOLN WAY
Practice Address - Street 2:SUITE 6
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-5122
Practice Address - Country:US
Practice Address - Phone:530-318-5957
Practice Address - Fax:530-268-8040
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 18066101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health