Doctor Name: | KATHRYN LADEAN MCDONALD |
NPI Number: | 1144556531 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, PLMHP |
License Number: | 8832 |
Business Practice Address: | 722 E Court St Beatrice, NE - 683103928 |
Business Phone Number: | 4022233843 |
Business Fax Number: | 4022234200 |
Mailing Address: | 405 Nance St # 636, AVOCA |
State: | NE |
Postal Code: | 683074011 |
Phone Number: | 4023064687 |
Fax Number: | |
NPI Enumeration Date: | 10/20/2009 |
NPI Last Update Date: | 10/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 8832 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |