Provider Demographics
NPI:1902086259
Name:VENTER, CATHARINA (LCSW)
Entity type:Individual
Prefix:DR
First Name:CATHARINA
Middle Name:
Last Name:VENTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6111 N 1ST ST STE 104
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-5458
Mailing Address - Country:US
Mailing Address - Phone:559-930-6033
Mailing Address - Fax:559-297-0583
Practice Address - Street 1:6111 N 1ST ST STE 104
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5458
Practice Address - Country:US
Practice Address - Phone:559-930-6033
Practice Address - Fax:559-297-0583
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-04
Last Update Date:2007-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS238851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical