Provider Demographics
NPI:1831507268
Name:LOZINTO, KATHERINE (LMFT)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:LOZINTO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1246
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CA
Mailing Address - Zip Code:95492-1246
Mailing Address - Country:US
Mailing Address - Phone:707-836-3774
Mailing Address - Fax:
Practice Address - Street 1:230 CENTER ST
Practice Address - Street 2:
Practice Address - City:HEALDSBURG
Practice Address - State:CA
Practice Address - Zip Code:95448-4402
Practice Address - Country:US
Practice Address - Phone:707-836-3774
Practice Address - Fax:707-836-3774
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-29
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT105560106H00000X
CA105560106H00000X
CAIMF80972106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
952473OtherBEACON HEALTH OPTIONS