Provider Demographics
NPI:1811387095
Name:KING, KATHARINE BARRINGTON NEPHEW (LMHC)
Entity Type:Individual
Prefix:MS
First Name:KATHARINE
Middle Name:BARRINGTON NEPHEW
Last Name:KING
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 JOY RD
Mailing Address - Street 2:
Mailing Address - City:PUTNEY
Mailing Address - State:VT
Mailing Address - Zip Code:05346-8989
Mailing Address - Country:US
Mailing Address - Phone:781-859-8200
Mailing Address - Fax:
Practice Address - Street 1:125 JOY RD
Practice Address - Street 2:
Practice Address - City:PUTNEY
Practice Address - State:VT
Practice Address - Zip Code:05346-8989
Practice Address - Country:US
Practice Address - Phone:781-859-8200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-27
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5831101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health