Provider Demographics
NPI:1225448160
Name:KATULICH, CAROL (LMFT, CADC)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:
Last Name:KATULICH
Suffix:
Gender:F
Credentials:LMFT, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1116 PITTSBURGH PIKE RD
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-3325
Mailing Address - Country:US
Mailing Address - Phone:724-283-4625
Mailing Address - Fax:
Practice Address - Street 1:226 NEW CASTLE ST
Practice Address - Street 2:KIDS COUNT INC.
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-5254
Practice Address - Country:US
Practice Address - Phone:724-283-4625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-30
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA1752101YA0400X
PAMF000046106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)