Provider / Organization | NPI | Date Certified |
---|---|---|
KATHERINE JO JORGENSON | 1871142737 | 2020-10-25 |
Katherine Jo Jorgenson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1871142737. Registration indicates Katherine Jo Jorgenson is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, ) (Behavioral Health & Social Service Providers, Marriage & Family Therapist) (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers)
Entity Type | Individual |
Provider Name | Katherine Jo Jorgenson |
Practice Office Address | 36 S KINNELOA AVE STE 100 PASADENA, CA US |
Practice Office Telephone | 6268443033 |
Mailing Address | 36 S KINNELOA AVE STE 100 PASADENA, CA 911073853 US |
Business Telephone | 6268443033 |
Address | City / State | Phone / Fax |
---|---|---|
6109 Afton Pl | Los Angeles, CA 900288313 | 3234614118 |
Code | Practice | License No State |
---|---|---|
101YM0800X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | |
106H00000X PRIMARY | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers |