Provider Demographics
NPI:1225473606
Name:KUO, CATHY (LPC)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:
Last Name:KUO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 ANGLEBLUFF LN
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-4826
Mailing Address - Country:US
Mailing Address - Phone:469-682-0153
Mailing Address - Fax:
Practice Address - Street 1:101 E PARK BLVD
Practice Address - Street 2:SUITE # 640
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-5483
Practice Address - Country:US
Practice Address - Phone:469-682-0153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-30
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68172101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor