Provider Demographics
NPI:1013528371
Name:NORRIS, KATIE LYNN JAMES (MS, EDS, LPCC, NCC)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:LYNN JAMES
Last Name:NORRIS
Suffix:
Gender:F
Credentials:MS, EDS, LPCC, NCC
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:JAMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, EDS, APCC, NCC
Mailing Address - Street 1:1797 SAN JOSE AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-3078
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3239 E TENAYA WAY
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5924
Practice Address - Country:US
Practice Address - Phone:559-298-0697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-11
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CA8443101YM0800X, 101YP2500X
CA12861101YM0800X
CALPCC12861101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health