Provider Demographics
NPI:1992865745
Name:SANTOR, KATHLEEN GRACE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:GRACE
Last Name:SANTOR
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 WHITNEY RANCH DR
Mailing Address - Street 2:SUITE C-12
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89014-2642
Mailing Address - Country:US
Mailing Address - Phone:702-458-5686
Mailing Address - Fax:702-458-7745
Practice Address - Street 1:601 WHITNEY RANCH DR
Practice Address - Street 2:SUITE C-12
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-2642
Practice Address - Country:US
Practice Address - Phone:702-458-5686
Practice Address - Fax:702-458-7745
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0377106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist