Provider Demographics
NPI:1013217009
Name:BEEBE, KATHERINE (LCMHC)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:
Last Name:BEEBE
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 FAIRFIELD ST
Mailing Address - Street 2:
Mailing Address - City:SAINT ALBANS
Mailing Address - State:VT
Mailing Address - Zip Code:05478-2051
Mailing Address - Country:US
Mailing Address - Phone:802-524-2002
Mailing Address - Fax:802-527-1915
Practice Address - Street 1:75 FAIRFIELD ST
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:VT
Practice Address - Zip Code:05478-2051
Practice Address - Country:US
Practice Address - Phone:802-524-2002
Practice Address - Fax:802-527-1915
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068-0000286101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health