Provider Demographics
NPI:1598549206
Name:MENA, KATHARINE LIGHTFOOT (LCMHCA)
Entity Type:Individual
Prefix:MRS
First Name:KATHARINE
Middle Name:LIGHTFOOT
Last Name:MENA
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8562 NC HIGHWAY 105 S UNIT 102
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-7879
Mailing Address - Country:US
Mailing Address - Phone:828-333-4170
Mailing Address - Fax:855-404-4030
Practice Address - Street 1:8562 NC HIGHWAY 105 S UNIT 102
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-7879
Practice Address - Country:US
Practice Address - Phone:828-333-4170
Practice Address - Fax:855-404-4030
Is Sole Proprietor?:No
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional