Provider Demographics
NPI:1497338123
Name:GERWEL, KATHERINE E (MED, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:E
Last Name:GERWEL
Suffix:
Gender:F
Credentials:MED, LPC, NCC
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:E
Other - Last Name:GOESSLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED
Mailing Address - Street 1:283 US HIGHWAY 60 W
Mailing Address - Street 2:
Mailing Address - City:REPUBLIC
Mailing Address - State:MO
Mailing Address - Zip Code:65738-1432
Mailing Address - Country:US
Mailing Address - Phone:417-289-2942
Mailing Address - Fax:
Practice Address - Street 1:283 US HIGHWAY 60 W
Practice Address - Street 2:
Practice Address - City:REPUBLIC
Practice Address - State:MO
Practice Address - Zip Code:65738-1432
Practice Address - Country:US
Practice Address - Phone:417-289-2942
Practice Address - Fax:417-280-3369
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-30
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020037126101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional