| Doctor Name: | MS. KATHERINE ANNE RISINGER |
| NPI Number: | 1003134230 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PCC |
| License Number: | E.0500398 |
| Business Practice Address: | 399 E Main St Columbus, OH - 432155384 |
| Business Phone Number: | 6143558550 |
| Business Fax Number: | 6143558593 |
| Mailing Address: | Dept 781625, DETROIT |
| State: | MI |
| Postal Code: | 482781625 |
| Phone Number: | 6143558004 |
| Fax Number: | 6143552220 |
| NPI Enumeration Date: | 05/12/2010 |
| NPI Last Update Date: | 04/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | E.0500398 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |