Provider Demographics
NPI:1679236715
Name:CAREY, KATHERINE ASHLEY (LPC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:ASHLEY
Last Name:CAREY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14361 W WETHERSFIELD RD
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85379-5660
Mailing Address - Country:US
Mailing Address - Phone:480-489-2859
Mailing Address - Fax:
Practice Address - Street 1:14361 W WETHERSFIELD RD
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85379-5660
Practice Address - Country:US
Practice Address - Phone:480-489-2859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-15
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-20197101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor