Provider Demographics
NPI:1598092934
Name:CONLEY, KATELIN (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:KATELIN
Middle Name:
Last Name:CONLEY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CEDAR ST STE 21
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-6365
Mailing Address - Country:US
Mailing Address - Phone:508-525-9438
Mailing Address - Fax:
Practice Address - Street 1:10 CEDAR ST STE 21
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-6365
Practice Address - Country:US
Practice Address - Phone:508-525-9438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-05
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7909101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health