Provider Demographics
NPI:1851830319
Name:TRINIDAD, KATELIN (LMHC)
Entity Type:Individual
Prefix:
First Name:KATELIN
Middle Name:
Last Name:TRINIDAD
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 1:7B RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-2908
Mailing Address - Country:US
Mailing Address - Phone:508-212-2246
Mailing Address - Fax:
Practice Address - Street 1:7B RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-2908
Practice Address - Country:US
Practice Address - Phone:508-212-2246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-16
Last Update Date:2019-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10838101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health