Provider Demographics
NPI:1720279763
Name:FERRARI, CATHERINE THERESE (LMFT)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:THERESE
Last Name:FERRARI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:CATHERINE
Other - Middle Name:THERESE
Other - Last Name:FERRARI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:4160 TEMESCAL CANYON RD STE 309
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92883-4629
Mailing Address - Country:US
Mailing Address - Phone:951-264-7783
Mailing Address - Fax:951-432-7179
Practice Address - Street 1:4160 TEMESCAL CANYON RD STE 309
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92883-4629
Practice Address - Country:US
Practice Address - Phone:951-264-7783
Practice Address - Fax:951-432-7179
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-06
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC30818106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist