| Doctor Name: | MRS. KATHY LAVERNE BARRON |
| NPI Number: | 1063577062 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | LCS 19017 |
| Business Practice Address: | 1789 W. Yosemite Ave. Sierra Building, 1st Floor Manteca, CA - 95337 |
| Business Phone Number: | 2098587767 |
| Business Fax Number: | |
| Mailing Address: | 1789 W. Yosemite Ave., Sierra Building, 1st Floor MANTECA |
| State: | CA |
| Postal Code: | 95337 |
| Phone Number: | 2098587767 |
| Fax Number: | |
| NPI Enumeration Date: | 12/27/2006 |
| NPI Last Update Date: | 12/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LCS 19017 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |