Provider Demographics
NPI:1326410093
Name:DEWHURST, KATIE ANN (LPCA)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:ANN
Last Name:DEWHURST
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 WESTCARE DR
Mailing Address - Street 2:SUITE 402
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-5292
Mailing Address - Country:US
Mailing Address - Phone:828-586-5555
Mailing Address - Fax:828-586-5527
Practice Address - Street 1:70 WESTCARE DR
Practice Address - Street 2:SUITE 402
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-5292
Practice Address - Country:US
Practice Address - Phone:828-586-5555
Practice Address - Fax:828-586-5527
Is Sole Proprietor?:No
Enumeration Date:2015-10-21
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA11891101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional