Provider Demographics
NPI:1255128963
Name:RANEY, KATHRYN (PPS)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:RANEY
Suffix:
Gender:
Credentials:PPS
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 N CATALINA ST
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93001-2475
Mailing Address - Country:US
Mailing Address - Phone:805-641-5116
Mailing Address - Fax:
Practice Address - Street 1:2 N CATALINA ST
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93001-2475
Practice Address - Country:US
Practice Address - Phone:805-641-5116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool