Provider Demographics
NPI:1285333955
Name:FLECKENSTEIN, KATHRYN (LMFT)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:FLECKENSTEIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:KADY
Other - Middle Name:
Other - Last Name:FLECKENSTEIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:85 W HIGHWAY 246
Mailing Address - Street 2:
Mailing Address - City:BUELLTON
Mailing Address - State:CA
Mailing Address - Zip Code:93427-9719
Mailing Address - Country:US
Mailing Address - Phone:805-694-8297
Mailing Address - Fax:
Practice Address - Street 1:2030 VIBORG RD STE 107
Practice Address - Street 2:
Practice Address - City:SOLVANG
Practice Address - State:CA
Practice Address - Zip Code:93463-3224
Practice Address - Country:US
Practice Address - Phone:805-694-8297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-01
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT152625101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health