Provider Demographics
NPI:1568238780
Name:CHEWNING, KATHERINE M (LPC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:M
Last Name:CHEWNING
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 1:13440 N 44TH ST APT 3120
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-6369
Mailing Address - Country:US
Mailing Address - Phone:770-778-1497
Mailing Address - Fax:
Practice Address - Street 1:1424 S 7TH AVE BLDG C
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85007-3902
Practice Address - Country:US
Practice Address - Phone:602-258-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-29
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-22583101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional