Provider Demographics
NPI:1992817621
Name:LEFF, CATHRYN LEE (LMFT)
Entity type:Individual
Prefix:MS
First Name:CATHRYN
Middle Name:LEE
Last Name:LEFF
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 1:29291 PROVIDENCE RD
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-5613
Mailing Address - Country:US
Mailing Address - Phone:951-296-9460
Mailing Address - Fax:951-296-9461
Practice Address - Street 1:29291 PROVIDENCE RD
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-5613
Practice Address - Country:US
Practice Address - Phone:951-296-9460
Practice Address - Fax:951-296-9461
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 33119106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist