Provider Demographics
NPI:1780747444
Name:O'BRIEN, CATHERINE ANGELA (LMFT)
Entity type:Individual
Prefix:MISS
First Name:CATHERINE
Middle Name:ANGELA
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 162397
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-2397
Mailing Address - Country:US
Mailing Address - Phone:916-708-9501
Mailing Address - Fax:
Practice Address - Street 1:3112 O ST
Practice Address - Street 2:SUITE 8
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-6542
Practice Address - Country:US
Practice Address - Phone:916-718-9501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-17
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC40741106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist