Provider Demographics
NPI:1841445889
Name:LAZAR, CATHERINE (CATHERINE LAZAR, MFT)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:
Last Name:LAZAR
Suffix:
Gender:F
Credentials:CATHERINE LAZAR, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:985 LINCOLN WAY
Mailing Address - Street 2:SUITE 207
Mailing Address - City:AUBURN
Mailing Address - State:CA
Mailing Address - Zip Code:95603
Mailing Address - Country:US
Mailing Address - Phone:530-906-4668
Mailing Address - Fax:530-888-8170
Practice Address - Street 1:985 LINCOLN WAY
Practice Address - Street 2:SUITE 207
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603
Practice Address - Country:US
Practice Address - Phone:530-906-4668
Practice Address - Fax:530-888-8170
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-18
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA80509106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist