Provider Demographics
NPI:1326191354
Name:ALDRIDGE, KATIE HAMPTON (BS)
Entity Type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:HAMPTON
Last Name:ALDRIDGE
Suffix:
Gender:F
Credentials:BS
Other - Prefix:MISS
Other - First Name:KATIE
Other - Middle Name:VENICE
Other - Last Name:HAMPTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS
Mailing Address - Street 1:398 HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-5196
Mailing Address - Country:US
Mailing Address - Phone:828-736-0688
Mailing Address - Fax:828-586-5450
Practice Address - Street 1:398 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-5196
Practice Address - Country:US
Practice Address - Phone:828-736-0688
Practice Address - Fax:828-586-5450
Is Sole Proprietor?:No
Enumeration Date:2007-01-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor