Healthcare Provider Details

I. General information

NPI: 1952709842
Provider Name (Legal Business Name): CHRISTINE KURATA LMFT, ATR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2014
Last Update Date: 10/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

685 E CALIFORNIA BLVD
PASADENA CA
91106-3847
US

IV. Provider business mailing address

685 E CALIFORNIA BLVD
PASADENA CA
91106-3847
US

V. Phone/Fax

Practice location:
  • Phone: 626-795-7910
  • Fax:
Mailing address:
  • Phone: 626-795-7910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License NumberATR18-401
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT108612
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: