Provider Demographics
NPI:1053760447
Name:BARTON, KATHRYN JEANNIE (JD)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:JEANNIE
Last Name:BARTON
Suffix:
Gender:F
Credentials:JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 WOODLAND PARK DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT SHASTA
Mailing Address - State:CA
Mailing Address - Zip Code:96067-9722
Mailing Address - Country:US
Mailing Address - Phone:925-437-6093
Mailing Address - Fax:
Practice Address - Street 1:1150 S OLIVE ST STE T-320
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90015-2211
Practice Address - Country:US
Practice Address - Phone:866-740-6502
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-07
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health