KATHERINE GRACE CONTRESTANO (NPI# 1558803650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558803650 |
Entity Type | Individual |
Full Name | KATHERINE GRACE CONTRESTANO |
Practice Address |
334 Shaw Ave Ste 100 Clovis CA 93612-3839 |
Practice Telephone | 5597128500 |
Mailing Telephone | 5597128500 |
Enumeration Date | 2016-11-07 |
Last Update Date | 2020-06-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
N | 101YM0800X |
Counselor Specialization: Mental Health |
93919 | CA | Behavioral Health & Social Service Providers |
Y | 106H00000X | Marriage & Family Therapist | 115987 | CA | Behavioral Health & Social Service Providers |
N | 106H00000X | Marriage & Family Therapist | 93919 | CA | Behavioral Health & Social Service Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | 93919 | CA | Student, Health Care |
Street Address |
334 SHAW AVE STE 100 |
City | CLOVIS |
State | CA |
Zip Code | 93612-3839 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386071447 | Darra Hirsh | Psychologist | 334 Shaw Ave Ste 100, Clovis, CA 93612 | 2013-10-03 |
1407491483 | Alexandra Antonia Garcia | Marriage & Family Therapist | 334 Shaw Ave Ste 100, Clovis, CA 93612-3839 | 2019-11-13 |
1669039327 | A Mind Above, A Professional Psychology Corporation | Psychologist | 334 Shaw Ave Ste 100, Clovis, CA 93612-3839 | 2019-05-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235778002 | Prieto Dental Corporation | Dentist | 2320 Clovis Avenue, Suite 102, Clovis, CA 93612 | 2019-12-27 |
1285190827 | Natividad Casillas | Behavior Technician | 20 N Dewitt, Clovis, CA 93612 | 2019-02-19 |
1922578988 | Benjamin Harold Davis Jr. | Behavior Technician | Swans Consulting, 20 N Dewitt Ave, Clovis, CA 93612 | 2018-12-03 |
1134620651 | Innovative Development & Living Solutions of California | Assisted Living Facility | 32 West Sierra Ave, Clovis, CA 93612 | 2018-02-21 |
1427578616 | Mariamajane Sengsiri | Licensed Vocational Nurse | 1244 Estabrook Ave., Clovis, CA 93612 | 2017-06-20 |
1417482464 | Tiffanie Guy | Pharmacist | 2810 Willow Ave Apt 206, Clovis, CA 93612 | 2017-04-27 |
1194271833 | Daniel Salinas | Specialist/Technologist | 1712 Harvard Ave., Clovis, CA 93612 | 2016-09-01 |
1437400793 | Bashful Elephant | Counselor | 3097 Willow Suite 4, Clovis, CA 93612 | 2012-09-27 |
1588930432 | Nghiem Gia Vu | Pharmacist | 695 W Herdn Ave, Clovis, CA 93612 | 2012-03-26 |
1245556380 | Comprehensive Sleep Diagnostics | Clinic/Center | 255 W Herndon Ave, Suite 102, Clovis, CA 93612 | 2010-04-14 |
Find all providers in zip 93612 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720693187 | Gregory L. Tanner | Marriage & Family Therapist | 2121 Herndon Ave, Clovis, CA 93611-6302 | 2020-09-12 |
1922629310 | Donna Dodd | Marriage & Family Therapist | 1111 Polson Ave, Clovis, CA 93612-0450 | 2020-04-27 |
1417586355 | Renew Counseling Center | Marriage & Family Therapist | 1002 Las Rosas Ave, Clovis, CA 93619-7937 | 2020-04-03 |
1568005551 | Karen Huckaby | Marriage & Family Therapist | 150 Clovis Ave Ste 204, Clovis, CA 93612-1167 | 2019-10-22 |
1851869424 | Maryanita Price | Marriage & Family Therapist | 3223 Monviso Ln, Clovis, CA 93619-5411 | 2018-11-12 |
1215416391 | Samantha Lewis | Marriage & Family Therapist | 530 Dewitt Ave Ste 101, Clovis, CA 93612-1857 | 2018-08-09 |
1093257271 | Julie Ann Barrett | Marriage & Family Therapist | 1049 N Citadel Ave, Clovis, CA 93611-6765 | 2016-11-05 |
1962896654 | Deborah Tobias Gatewood | Marriage & Family Therapist | 2788 Scott Ave, Clovis, CA 93611-6975 | 2015-03-20 |
1376947069 | Vania Djavid | Marriage & Family Therapist | 1715 Glen Kippen Ln, Clovis, CA 93619-2870 | 2014-10-09 |
1881093078 | Candice Marie Newsum | Marriage & Family Therapist | 2381 Ryan Ave, Clovis, CA 93611-5079 | 2014-08-14 |
Find all providers in CLOVIS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.