Provider Demographics
NPI:1912078148
Name:CATONE, MARY C (MFT)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:C
Last Name:CATONE
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3851 KATELLA AVE STE 380
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-3399
Mailing Address - Country:US
Mailing Address - Phone:562-458-1030
Mailing Address - Fax:562-684-4122
Practice Address - Street 1:3851 KATELLA AVE STE 380
Practice Address - Street 2:
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-3399
Practice Address - Country:US
Practice Address - Phone:562-458-1030
Practice Address - Fax:562-844-4122
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC42849101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health