Provider Demographics
NPI:1043355365
Name:CALFEE, KATHRYN ODOM (MA, MFT)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:ODOM
Last Name:CALFEE
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:LEE
Other - Last Name:ODOM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, MFT
Mailing Address - Street 1:729 SUNRISE AVE
Mailing Address - Street 2:SUITE 800
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-4565
Mailing Address - Country:US
Mailing Address - Phone:916-772-6701
Mailing Address - Fax:916-782-5270
Practice Address - Street 1:729 SUNRISE AVE
Practice Address - Street 2:SUITE 800
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-4565
Practice Address - Country:US
Practice Address - Phone:916-772-6701
Practice Address - Fax:916-782-5270
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC9463106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist