| Doctor Name: | KATHLEEN MARY LOURENCO |
| NPI Number: | 1104049998 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | LCSW64012 |
| Business Practice Address: | 10802 College Pl Cerritos, CA - 907031505 |
| Business Phone Number: | 5629249581 |
| Business Fax Number: | |
| Mailing Address: | 437 S Loretta Dr, ORANGE |
| State: | CA |
| Postal Code: | 928694601 |
| Phone Number: | 7146140853 |
| Fax Number: | |
| NPI Enumeration Date: | 04/10/2007 |
| NPI Last Update Date: | 11/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCSW64012 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |