Provider Demographics
NPI:1083413975
Name:ALDAMA, KATHRYN (MS, PPS)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:ALDAMA
Suffix:
Gender:
Credentials:MS, PPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15151 TEMPLE ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-6230
Mailing Address - Country:US
Mailing Address - Phone:714-894-7237
Mailing Address - Fax:
Practice Address - Street 1:15151 TEMPLE ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-6230
Practice Address - Country:US
Practice Address - Phone:714-894-7237
Practice Address - Fax:714-379-1774
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool