| Doctor Name: | KATHLEEN ANN ARBUCKLE |
| NPI Number: | 1295746980 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 16444 |
| Business Practice Address: | 123 N 3rd St Canadian, TX - 790142218 |
| Business Phone Number: | 8062171962 |
| Business Fax Number: | 8063239139 |
| Mailing Address: | 123 N 3rd St, CANADIAN |
| State: | TX |
| Postal Code: | 790142218 |
| Phone Number: | 8062171962 |
| Fax Number: | 8063239139 |
| NPI Enumeration Date: | 08/10/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 16444 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |