Provider Demographics
NPI:1740597392
Name:CAIN, CATHERINE MARIE (LPCC/S)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:MARIE
Last Name:CAIN
Suffix:
Gender:F
Credentials:LPCC/S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7544 DAYTON SPRINGFIELD RD
Mailing Address - Street 2:
Mailing Address - City:FAIRBORN
Mailing Address - State:OH
Mailing Address - Zip Code:45324-1902
Mailing Address - Country:US
Mailing Address - Phone:937-864-9951
Mailing Address - Fax:937-864-7297
Practice Address - Street 1:105 W N COLLEGE ST.
Practice Address - Street 2:
Practice Address - City:YELLOW SPRINGS
Practice Address - State:OH
Practice Address - Zip Code:45387-1500
Practice Address - Country:US
Practice Address - Phone:937-328-6500
Practice Address - Fax:937-328-6510
Is Sole Proprietor?:No
Enumeration Date:2010-09-02
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0002235101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health