Provider Demographics
NPI:1891477840
Name:HOLCOMB, KATELYN (LMFTA)
Entity Type:Individual
Prefix:
First Name:KATELYN
Middle Name:
Last Name:HOLCOMB
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:518 E BOULEVARD STE 100
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46902-2205
Mailing Address - Country:US
Mailing Address - Phone:574-870-5053
Mailing Address - Fax:
Practice Address - Street 1:518 E BOULEVARD STE 100
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-2205
Practice Address - Country:US
Practice Address - Phone:574-870-5053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-01
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist