Provider Demographics
NPI:1609206234
Name:ALABI, KATHRYN UGONNA (LPCMH, LCPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:UGONNA
Last Name:ALABI
Suffix:
Gender:F
Credentials:LPCMH, LCPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:364 E MAIN ST # 120
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-1482
Mailing Address - Country:US
Mailing Address - Phone:302-725-3120
Mailing Address - Fax:
Practice Address - Street 1:313 CLYDIA CT
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-8791
Practice Address - Country:US
Practice Address - Phone:302-725-3120
Practice Address - Fax:302-204-1248
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-18
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC11113101Y00000X, 101YP2500X
DEPC-0000790101YM0800X, 101YP2500X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1609206234Medicaid