Provider Demographics
NPI:1376088062
Name:LE, KATHY DUC (LCSW-S)
Entity Type:Individual
Prefix:MS
First Name:KATHY
Middle Name:DUC
Last Name:LE
Suffix:
Gender:F
Credentials:LCSW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8207 HUDSON AVE STE A
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-2805
Mailing Address - Country:US
Mailing Address - Phone:806-429-1015
Mailing Address - Fax:806-403-7551
Practice Address - Street 1:8207 HUDSON AVE STE A
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-2805
Practice Address - Country:US
Practice Address - Phone:806-429-1015
Practice Address - Fax:806-403-7551
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-04
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX504861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical