Provider Demographics
NPI:1477314441
Name:RICARDO, KATHERYNE (MS, LPC-A)
Entity Type:Individual
Prefix:
First Name:KATHERYNE
Middle Name:
Last Name:RICARDO
Suffix:
Gender:F
Credentials:MS, LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 LAKEVILLE DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2067
Mailing Address - Country:US
Mailing Address - Phone:833-511-2228
Mailing Address - Fax:
Practice Address - Street 1:719 SAWDUST RD STE 309
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-2900
Practice Address - Country:US
Practice Address - Phone:833-511-2228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93972101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health