Provider Demographics
NPI:1689345688
Name:KATT, LEA E (APCC)
Entity type:Individual
Prefix:
First Name:LEA
Middle Name:E
Last Name:KATT
Suffix:
Gender:F
Credentials:APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4180 RUFFIN RD STE 295
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1834
Mailing Address - Country:US
Mailing Address - Phone:760-842-6227
Mailing Address - Fax:
Practice Address - Street 1:4180 RUFFIN RD STE 295
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1834
Practice Address - Country:US
Practice Address - Phone:760-842-6227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-21
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10084101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional