Provider Demographics
NPI:1437235413
Name:FRECHETTE, KATHERINE IRENE (LMHC)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:IRENE
Last Name:FRECHETTE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:487 MANAGUA WAY
Mailing Address - Street 2:
Mailing Address - City:MARY ESTHER
Mailing Address - State:FL
Mailing Address - Zip Code:32569
Mailing Address - Country:US
Mailing Address - Phone:850-581-2923
Mailing Address - Fax:850-581-2923
Practice Address - Street 1:487 MANAGUA WAY
Practice Address - Street 2:
Practice Address - City:MARY ESTHER
Practice Address - State:FL
Practice Address - Zip Code:32569-1500
Practice Address - Country:US
Practice Address - Phone:850-581-2923
Practice Address - Fax:850-581-2923
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH4823101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health