Provider Demographics
NPI:1679911507
Name:AGUIRRE, KATHERINE (MA, LPC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:AGUIRRE
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 1:4611 BEE CAVE RD
Mailing Address - Street 2:SUITE #210
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5220
Mailing Address - Country:US
Mailing Address - Phone:512-587-2243
Mailing Address - Fax:
Practice Address - Street 1:4611 BEE CAVE RD
Practice Address - Street 2:SUITE #210
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5220
Practice Address - Country:US
Practice Address - Phone:512-587-2243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-13
Last Update Date:2013-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62894101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional