Healthcare Provider Details

I. General information

NPI: 1841445889
Provider Name (Legal Business Name): CATHERINE LAZAR CATHERINE LAZAR, MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/18/2008
Last Update Date: 07/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

985 LINCOLN WAY SUITE 207
AUBURN CA
95603
US

IV. Provider business mailing address

985 LINCOLN WAY SUITE 207
AUBURN CA
95603
US

V. Phone/Fax

Practice location:
  • Phone: 530-906-4668
  • Fax: 530-888-8170
Mailing address:
  • Phone: 530-906-4668
  • Fax: 530-888-8170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number80509
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: