Provider Demographics
NPI:1639671563
Name:HOULIHAN, KATHLEEN (LICSW #117542)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:
Last Name:HOULIHAN
Suffix:
Gender:F
Credentials:LICSW #117542
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BOSTON COLLEGE CAMPUS SCHOOL - CAMPION 197
Mailing Address - Street 2:140 COMMONWEALTH AVE
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467
Mailing Address - Country:US
Mailing Address - Phone:617-552-4678
Mailing Address - Fax:617-552-6465
Practice Address - Street 1:BOSTON COLLEGE CAMPUS SCHOOL - CAMPION 197
Practice Address - Street 2:140 COMMONWEALTH AVE
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467
Practice Address - Country:US
Practice Address - Phone:617-552-4678
Practice Address - Fax:617-552-6465
Is Sole Proprietor?:No
Enumeration Date:2018-03-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker