Healthcare Provider Details

I. General information

NPI: 1790142792
Provider Name (Legal Business Name): KATE AILEEN WOFFORD LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATE AILEEN FITZPATRICK LMFT

II. Dates (important events)

Enumeration Date: 01/21/2016
Last Update Date: 09/04/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11423 187TH ST #200
ARTESIA CA
90701
US

IV. Provider business mailing address

5228 VERDURA AVENUE
LAKEWOOD CA
90712
US

V. Phone/Fax

Practice location:
  • Phone: 530-400-2850
  • Fax:
Mailing address:
  • Phone: 530-400-2850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number80909
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: