Provider Demographics
NPI:1003189945
Name:ASBURY, KATARINA (LMHC)
Entity Type:Individual
Prefix:MS
First Name:KATARINA
Middle Name:
Last Name:ASBURY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 CORNELL ST
Mailing Address - Street 2:APT 4
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-3133
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:33 CORNELL ST
Practice Address - Street 2:APT 4
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-3133
Practice Address - Country:US
Practice Address - Phone:832-971-9045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-22
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002686101YP2500X
TX68133101YP2500X
NY007032101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health