Provider Demographics
NPI:1790783983
Name:BARNETT, KATHRYN E (M ED, LPC)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:E
Last Name:BARNETT
Suffix:
Gender:F
Credentials:M ED, LPC
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:E
Other - Last Name:BARNETT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MED, LPC
Mailing Address - Street 1:PO BOX 3174
Mailing Address - Street 2:
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29641-3174
Mailing Address - Country:US
Mailing Address - Phone:864-855-4080
Mailing Address - Fax:864-855-1890
Practice Address - Street 1:1739 POWDERSVILLE ROAD
Practice Address - Street 2:SUITE C
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29642-1980
Practice Address - Country:US
Practice Address - Phone:864-855-4080
Practice Address - Fax:864-855-1890
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3715101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor