Provider Demographics
NPI:1669819504
Name:POE, KATHRYN ANN (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:ANN
Last Name:POE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:551 GOLDEN GROVE PKWY
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-4578
Mailing Address - Country:US
Mailing Address - Phone:432-260-6379
Mailing Address - Fax:
Practice Address - Street 1:3661 W WALNUT HILL LN
Practice Address - Street 2:APARTMENT 2148
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-4044
Practice Address - Country:US
Practice Address - Phone:432-260-6379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-02
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67628101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health