Provider Demographics
NPI:1093263154
Name:STEIN, KATHERINE JAMIESON (MA, LCPC, LADC)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:JAMIESON
Last Name:STEIN
Suffix:
Gender:F
Credentials:MA, LCPC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 COLLEY BROOK DR
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04062-4557
Mailing Address - Country:US
Mailing Address - Phone:603-566-6133
Mailing Address - Fax:
Practice Address - Street 1:84 COLLEY BROOK DR
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:ME
Practice Address - Zip Code:04062-4557
Practice Address - Country:US
Practice Address - Phone:603-566-6133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-19
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC6753101YA0400X
MECAC6170101YA0400X
MEXL4750101YM0800X
MECC5402101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)