Provider Demographics
NPI:1235260175
Name:DONAHUE, CATHLEEN C (LPCC)
Entity Type:Individual
Prefix:MRS
First Name:CATHLEEN
Middle Name:C
Last Name:DONAHUE
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 WILLOW DR
Mailing Address - Street 2:
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-1459
Mailing Address - Country:US
Mailing Address - Phone:859-382-0132
Mailing Address - Fax:859-881-1499
Practice Address - Street 1:100 W OAK ST
Practice Address - Street 2:
Practice Address - City:NICHOLASVILLE
Practice Address - State:KY
Practice Address - Zip Code:40356-1244
Practice Address - Country:US
Practice Address - Phone:859-382-0132
Practice Address - Fax:859-881-1499
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY485101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100314680Medicaid