Provider Demographics
NPI:1568761252
Name:HOULIHAN, KATHY GLOVER (MA, NCC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:GLOVER
Last Name:HOULIHAN
Suffix:
Gender:F
Credentials:MA, NCC, LPC
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Other - First Name:
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Mailing Address - Street 1:65 PRINCETON MANOR DR
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27596-7788
Mailing Address - Country:US
Mailing Address - Phone:610-331-3307
Mailing Address - Fax:919-435-0440
Practice Address - Street 1:8512 SIX FORKS RD STE 101
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-3256
Practice Address - Country:US
Practice Address - Phone:919-277-0253
Practice Address - Fax:919-277-4627
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-21
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPC003090101YM0800X
NC8338101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health