Provider Demographics
NPI:1376108076
Name:DONAHOO, KATHERINE (LIMHP, LPC, PLADC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:DONAHOO
Suffix:
Gender:F
Credentials:LIMHP, LPC, PLADC
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:VANDEMARK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:622 LIBERTY RD
Mailing Address - Street 2:
Mailing Address - City:DANNEBROG
Mailing Address - State:NE
Mailing Address - Zip Code:68831-3163
Mailing Address - Country:US
Mailing Address - Phone:308-370-2580
Mailing Address - Fax:
Practice Address - Street 1:1113 SHERMAN ST
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:NE
Practice Address - Zip Code:68873-1546
Practice Address - Country:US
Practice Address - Phone:308-754-4421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-08
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2839101Y00000X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE470777075Medicaid