Provider Demographics
NPI:1932717741
Name:SCHOLZ, CATHERINE ANNE (AMFT)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ANNE
Last Name:SCHOLZ
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 W MCKNIGHT WAY STE 54-B
Mailing Address - Street 2:
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95949-9613
Mailing Address - Country:US
Mailing Address - Phone:818-213-1182
Mailing Address - Fax:
Practice Address - Street 1:101 W MCKNIGHT WAY STE 54-B
Practice Address - Street 2:
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95949-9613
Practice Address - Country:US
Practice Address - Phone:818-213-1182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-17
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA129997106H00000X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist