Healthcare Provider Details

I. General information

NPI: 1124245907
Provider Name (Legal Business Name): KATHERINE LENA WELLER MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 PEARL ST STE D1
MONTEREY CA
93940-3040
US

IV. Provider business mailing address

484 WASHINGTON ST STE B-188
MONTEREY CA
93940-3050
US

V. Phone/Fax

Practice location:
  • Phone: 360-968-6116
  • Fax:
Mailing address:
  • Phone: 360-968-6116
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLF00002257
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number27594
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: