Provider Demographics
NPI:1548371313
Name:KATZ, ETHEL COHN (MFT)
Entity type:Individual
Prefix:MRS
First Name:ETHEL
Middle Name:COHN
Last Name:KATZ
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 1:1800 WESTWIND DR
Mailing Address - Street 2:SUITE 407
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-3055
Mailing Address - Country:US
Mailing Address - Phone:661-324-2792
Mailing Address - Fax:661-324-0485
Practice Address - Street 1:1800 WESTWIND DR
Practice Address - Street 2:SUITE 407
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-3055
Practice Address - Country:US
Practice Address - Phone:661-324-2792
Practice Address - Fax:661-324-0485
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT20152106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist