Provider Demographics
NPI:1609228378
Name:PATUS, NATASHA MUSE (LMFT)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:MUSE
Last Name:PATUS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:NATASHA
Other - Middle Name:MUSE
Other - Last Name:ROSSNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:609 KIRKWOOD PL
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-8104
Mailing Address - Country:US
Mailing Address - Phone:858-774-8044
Mailing Address - Fax:
Practice Address - Street 1:1660 HOTEL CIR N STE 710
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-2815
Practice Address - Country:US
Practice Address - Phone:858-774-8044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-06
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA109921106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist