Individual ProviderKathleen Breann WhitefieldMarriage & Family TherapistBehavioral Health & Social Service ProvidersPractice Address8530 La Mesa Blvd Ste 306, La Mesa, CA 91942-0967(619) 876-4426(619) 515-2300PECOS EnrollmentBased on the most recent information from CMS, provider Kathleen Breann Whitefield does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1669102976Provider TypeIndividualFull NameWhitefield, Kathleen BreannCredentialAMFTGenderFemaleSole ProprietorYesEnumeration Date6/10/2022Last Updated7/17/2025Contact InformationPractice LocationPractice Address8530 La Mesa Blvd Ste 306, La Mesa, CA 91942-0967Phone(619) 876-4426FaxUnlisted FaxMailing LocationMailing Address823 Gateway Center Way, San Diego, CA 92102-4541Phone(619) 515-2300FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode106H00000XPrimaryDescriptionMarriage & Family TherapistBehavioral Health & Social Service ProvidersLicense156202CaliforniaCode106S00000XDescriptionBehavior TechnicianBehavioral Health & Social Service ProvidersLicenseRBT-22-215303California