Provider Demographics
NPI:1154847655
Name:ADLER, CATHERINE A (LPC)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:A
Last Name:ADLER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:ADLER, MA LLC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:12702 NE 97TH PL
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-5200
Mailing Address - Country:US
Mailing Address - Phone:206-920-5391
Mailing Address - Fax:541-488-7721
Practice Address - Street 1:12702 NE 97TH PL
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-5200
Practice Address - Country:US
Practice Address - Phone:206-920-5391
Practice Address - Fax:541-488-7721
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-16
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC3257101YM0800X
WALH60164813101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty