Provider Demographics
NPI:1063468726
Name:CONNOR, CATHERINE SUSAN (LMFT)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:SUSAN
Last Name:CONNOR
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 VALLE VISTA DR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-2333
Mailing Address - Country:US
Mailing Address - Phone:828-230-8009
Mailing Address - Fax:828-350-0799
Practice Address - Street 1:3 WOODFIN AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-3033
Practice Address - Country:US
Practice Address - Phone:828-225-8927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-25
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMFT970101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6105011Medicaid