Provider Demographics
NPI:1619503315
Name:CLAPP, KATHERINE JEAN (BS, CAP, IC&RC ADC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:JEAN
Last Name:CLAPP
Suffix:
Gender:F
Credentials:BS, CAP, IC&RC ADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13321 US HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:JUNO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-2252
Mailing Address - Country:US
Mailing Address - Phone:561-345-0927
Mailing Address - Fax:844-833-5612
Practice Address - Street 1:13321 US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:JUNO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-2252
Practice Address - Country:US
Practice Address - Phone:561-345-0927
Practice Address - Fax:844-833-5612
Is Sole Proprietor?:No
Enumeration Date:2020-03-14
Last Update Date:2020-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCAP100200101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)