Provider Demographics
NPI:1326413188
Name:KATELEY-WILLIAMS, CATHERINE (LPC, CADC1)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:KATELEY-WILLIAMS
Suffix:
Gender:F
Credentials:LPC, CADC1
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:KATELEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:7320 SW HUNZIKER RD STE 300
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97223-2302
Mailing Address - Country:US
Mailing Address - Phone:503-941-3077
Mailing Address - Fax:
Practice Address - Street 1:728 MOLALLA AVE
Practice Address - Street 2:
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-2799
Practice Address - Country:US
Practice Address - Phone:503-656-9030
Practice Address - Fax:503-656-9026
Is Sole Proprietor?:No
Enumeration Date:2015-12-04
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500711491Medicaid