Provider Demographics
NPI:1467964155
Name:HARRIGAN, KATRINA MARIE (LMHC)
Entity Type:Individual
Prefix:
First Name:KATRINA
Middle Name:MARIE
Last Name:HARRIGAN
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 1:184 ASH ST
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02453-5130
Mailing Address - Country:US
Mailing Address - Phone:617-642-2907
Mailing Address - Fax:
Practice Address - Street 1:184 ASH ST
Practice Address - Street 2:
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02453-5130
Practice Address - Country:US
Practice Address - Phone:617-642-2907
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-02
Last Update Date:2022-10-05
Deactivation Date:2017-11-03
Deactivation Code:
Reactivation Date:2017-11-13
Provider Licenses
StateLicense IDTaxonomies
MA13135-MH-CC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health