Individual
KATHLEEN SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCP, AMFT, APCC
Contact information
Practice address
4849 GREENVILLE AVE STE 100, DALLAS, TX 75206-4187
(972) 885-0106
Mailing address
16738 LAKESHORE DR # H208, LAKE ELSINORE, CA 92530-4930
(714) 794-2040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
15688
CA
106H00000X
Marriage & Family Therapist
Primary
144755
CA
Other
Enumeration date
09/07/2020
Last updated
03/11/2024
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