Provider Demographics
NPI:1801220249
Name:KATSIYIANNIS, DOROTHY LOUISE (LPC)
Entity Type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:LOUISE
Last Name:KATSIYIANNIS
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:PO BOX 24
Mailing Address - Street 2:
Mailing Address - City:BELOIT
Mailing Address - State:KS
Mailing Address - Zip Code:67420-0024
Mailing Address - Country:US
Mailing Address - Phone:785-534-9108
Mailing Address - Fax:785-534-1456
Practice Address - Street 1:710 E SOUTH ST
Practice Address - Street 2:
Practice Address - City:BELOIT
Practice Address - State:KS
Practice Address - Zip Code:67420-3324
Practice Address - Country:US
Practice Address - Phone:785-534-9108
Practice Address - Fax:785-534-1456
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-21
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2538101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional