Provider Demographics
NPI:1497918833
Name:SLOAN, KATHERINE DOROTHY (LPC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:DOROTHY
Last Name:SLOAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 COLLEGE PL STE B100
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-2400
Mailing Address - Country:US
Mailing Address - Phone:828-254-5008
Mailing Address - Fax:828-254-5808
Practice Address - Street 1:31 COLLEGE PL STE B100
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2400
Practice Address - Country:US
Practice Address - Phone:828-254-5008
Practice Address - Fax:828-254-5808
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7042101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103937Medicaid