Healthcare Provider Details

I. General information

NPI: 1467637355
Provider Name (Legal Business Name): KELLEE RENEE CATHEY MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2008
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5179 LONE TREE WAY STE 546
ANTIOCH CA
94531-8689
US

IV. Provider business mailing address

5179 LONE TREE WAY STE 546
ANTIOCH CA
94531-8689
US

V. Phone/Fax

Practice location:
  • Phone: 925-405-9000
  • Fax:
Mailing address:
  • Phone: 925-405-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT 79847
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: