Provider Demographics
NPI:1003139262
Name:DIFRAIA, KATHY (MED, LMHC, CCTP)
Entity Type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:
Last Name:DIFRAIA
Suffix:
Gender:F
Credentials:MED, LMHC, CCTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 - 6 WATER STREET
Mailing Address - Street 2:#4
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913
Mailing Address - Country:US
Mailing Address - Phone:978-992-8257
Mailing Address - Fax:978-792-5568
Practice Address - Street 1:4 WATER ST STE 4
Practice Address - Street 2:
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-2937
Practice Address - Country:US
Practice Address - Phone:978-992-8257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-02
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health