Provider Demographics
NPI:1881137115
Name:STEELE, KATHLEEN (MA, LMFT)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:
Last Name:STEELE
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:
Other - Last Name:LAYFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1899 E ROSEVILLE PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-7980
Mailing Address - Country:US
Mailing Address - Phone:916-307-0296
Mailing Address - Fax:
Practice Address - Street 1:1106 WINDFIELD WAY
Practice Address - Street 2:
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-9360
Practice Address - Country:US
Practice Address - Phone:916-357-5837
Practice Address - Fax:916-939-4045
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA96656106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist