Provider Demographics
NPI:1609110469
Name:MCGOVERN DANIHER, KATHERINE (MA, LCPC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:MCGOVERN DANIHER
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:MCGOVERN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1440 W TAYLOR ST # 843
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-4623
Mailing Address - Country:US
Mailing Address - Phone:773-619-2995
Mailing Address - Fax:
Practice Address - Street 1:1440 W TAYLOR ST # 843
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-4623
Practice Address - Country:US
Practice Address - Phone:773-619-2995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-19
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180006706101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional