Provider Demographics
NPI:1972791192
Name:CATABAS, JENNIFER B (MA, LMFT, LPCC)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:B
Last Name:CATABAS
Suffix:
Gender:F
Credentials:MA, LMFT, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 ADAMS AVE STE 305
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-3819
Mailing Address - Country:US
Mailing Address - Phone:949-791-7452
Mailing Address - Fax:657-267-0030
Practice Address - Street 1:1500 ADAMS AVE STE 305
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-3819
Practice Address - Country:US
Practice Address - Phone:949-791-7452
Practice Address - Fax:657-267-0030
Is Sole Proprietor?:No
Enumeration Date:2007-10-12
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT 49551106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist