Doctor Name: | CATHY KAY |
NPI Number: | 1316148356 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LPC, LAT |
License Number: | LAT-316 |
Business Practice Address: | 401 S 23rd St Worland, WY - 824013725 |
Business Phone Number: | 3073476165 |
Business Fax Number: | 3073476166 |
Mailing Address: | 401 S 23rd St, WORLAND |
State: | WY |
Postal Code: | 824013725 |
Phone Number: | 3073476165 |
Fax Number: | 3073476166 |
NPI Enumeration Date: | 05/29/2007 |
NPI Last Update Date: | 04/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | LAT-316 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |