Provider Demographics
NPI:1487296059
Name:HAYNES, CATHERINE PARRA (MS, LMFT)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:PARRA
Last Name:HAYNES
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1234 MUIRFIELD RD
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-5577
Mailing Address - Country:US
Mailing Address - Phone:951-907-5361
Mailing Address - Fax:
Practice Address - Street 1:4344 LATHAM ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501-0400
Practice Address - Country:US
Practice Address - Phone:951-779-4917
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-15
Last Update Date:2019-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA97467106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist