Provider Demographics
NPI:1619244654
Name:BAUGHEY, CATHERINE MARGARET (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:MARGARET
Last Name:BAUGHEY
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:PEGGY
Other - Middle Name:
Other - Last Name:BAUGHEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:505 WILDWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49201-1012
Mailing Address - Country:US
Mailing Address - Phone:517-782-8580
Mailing Address - Fax:517-782-8564
Practice Address - Street 1:505 WILDWOOD AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49201-1012
Practice Address - Country:US
Practice Address - Phone:517-782-8580
Practice Address - Fax:517-782-8564
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-18
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401007022101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health