Provider Demographics
NPI:1538752019
Name:BRUMFIELD, KATIE (AMFT)
Entity type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:
Last Name:BRUMFIELD
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:WOODSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2131 CAPITOL AVE STE 306
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5755
Mailing Address - Country:US
Mailing Address - Phone:916-542-9768
Mailing Address - Fax:
Practice Address - Street 1:2131 CAPITOL AVE STE 306
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5755
Practice Address - Country:US
Practice Address - Phone:916-542-9768
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-16
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA120599106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist