Provider Demographics
NPI:1760002026
Name:VANDRUFF, KATY (LPC)
Entity Type:Individual
Prefix:
First Name:KATY
Middle Name:
Last Name:VANDRUFF
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KATY
Other - Middle Name:
Other - Last Name:OLIPHINT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC INTERN
Mailing Address - Street 1:383 ROCKY RIDGE TRL APT 5301
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78737-2889
Mailing Address - Country:US
Mailing Address - Phone:214-934-0009
Mailing Address - Fax:
Practice Address - Street 1:383 ROCKY RIDGE TRL APT 5301
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78737-2889
Practice Address - Country:US
Practice Address - Phone:214-934-0009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-16
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83102101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor