Provider Demographics
NPI:1902232440
Name:EMERSON, KATRINA (LCPC)
Entity Type:Individual
Prefix:MS
First Name:KATRINA
Middle Name:
Last Name:EMERSON
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 MARBURY DR
Mailing Address - Street 2:
Mailing Address - City:DISTRICT HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20747-2334
Mailing Address - Country:US
Mailing Address - Phone:301-336-7600
Mailing Address - Fax:
Practice Address - Street 1:2000 MARBURY DR
Practice Address - Street 2:
Practice Address - City:DISTRICT HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20747-2334
Practice Address - Country:US
Practice Address - Phone:301-336-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-16
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor