Healthcare Provider Details

I. General information

NPI: 1093330987
Provider Name (Legal Business Name): KATE FRANCES FENECH LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATE FRANCES REARDON AMFT

II. Dates (important events)

Enumeration Date: 06/16/2020
Last Update Date: 01/31/2025
Certification Date: 01/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 SAN MARLO WAY STE 4
PACIFICA CA
94044-3274
US

IV. Provider business mailing address

3145 GEARY BLVD # 230
SAN FRANCISCO CA
94118-3316
US

V. Phone/Fax

Practice location:
  • Phone: 530-536-0563
  • Fax:
Mailing address:
  • Phone: 650-815-5071
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAMFT119806
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT119994
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number134210
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: