Healthcare Provider Details

I. General information

NPI: 1053923326
Provider Name (Legal Business Name): KATHERINE VALENTINE LMFT, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KAT VALENTINE LMFT, PHD

II. Dates (important events)

Enumeration Date: 08/18/2020
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6104 SEPULVEDA BLVD # 1060
VAN NUYS CA
91411-2503
US

IV. Provider business mailing address

6104 SEPULVEDA BLVD # 1060
VAN NUYS CA
91411-2503
US

V. Phone/Fax

Practice location:
  • Phone: 818-538-8308
  • Fax:
Mailing address:
  • Phone: 818-538-8308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT159417
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: