Most Relevant Information
Provider Data
| NPI Number: | 1003360660 |
| Provider Name: | KATHERINE BAILEY MA, MFTI |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | IMF95154 |
Most Important Dates
| Enumeration Date: | 08/11/2016 |
| Last Updated: | 08/31/2016 |
Provider Practice Location
6707 EMBARCADERO DR
STOCKTON
CA
952193382
Practice Location Phone/Fax
| Phone: | 2099564240 |
| Fax: |
Provider Mailing Location
6707 EMBARCADERO DR
STOCKTON
CA
952193382
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |