Provider Demographics
NPI:1225720543
Name:CAESARBROWN, CATHERINE (LMHC 003562)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:CAESARBROWN
Suffix:
Gender:F
Credentials:LMHC 003562
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 FOLTS ST REAR
Mailing Address - Street 2:
Mailing Address - City:HERKIMER
Mailing Address - State:NY
Mailing Address - Zip Code:13350-1201
Mailing Address - Country:US
Mailing Address - Phone:315-866-1035
Mailing Address - Fax:
Practice Address - Street 1:440 FURROWS RD
Practice Address - Street 2:
Practice Address - City:HOLBROOK
Practice Address - State:NY
Practice Address - Zip Code:11741-2700
Practice Address - Country:US
Practice Address - Phone:631-645-4262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0003562101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health