Individual
MS. CATHY LEE CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NONE
Contact information
Practice address
634 PRESSLEY ST, SANTA ROSA, CA 95404-5526
(707) 573-6955
(707) 573-8176
Mailing address
1410 GUERNEVILLE RD, 14, SANTA ROSA, CA 95403-7231
(707) 575-0979
(707) 573-6968
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1367
COUSELOR
CA
Enumeration date
04/11/2007
Last updated
06/15/2012
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