Provider Demographics
NPI:1437638426
Name:ALSTON, KATE ALLISON (CMHC)
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:ALLISON
Last Name:ALSTON
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4578 S HIGHLAND DR STE 350
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84117-4221
Mailing Address - Country:US
Mailing Address - Phone:801-906-8520
Mailing Address - Fax:
Practice Address - Street 1:4578 S HIGHLAND DR STE 350
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84117-4221
Practice Address - Country:US
Practice Address - Phone:801-638-7828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-09
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11144789-6009101YM0800X
UT11144789-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health