Provider Demographics
NPI:1497373724
Name:GRESKO, KATEE ALLISON (MS, LPC)
Entity Type:Individual
Prefix:
First Name:KATEE
Middle Name:ALLISON
Last Name:GRESKO
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 RUGH ST STE 150
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-5630
Mailing Address - Country:US
Mailing Address - Phone:412-353-9002
Mailing Address - Fax:
Practice Address - Street 1:600 RUGH ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-5630
Practice Address - Country:US
Practice Address - Phone:412-353-9002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-13
Last Update Date:2021-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC012427101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional