Provider Demographics
NPI:1912013004
Name:GURLEY, KATHERINE (MA)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:GURLEY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3611 S SONCY RD
Mailing Address - Street 2:SUITE 4A
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79119-6480
Mailing Address - Country:US
Mailing Address - Phone:806-367-7938
Mailing Address - Fax:
Practice Address - Street 1:3611 S SONCY RD
Practice Address - Street 2:SUITE 4A
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79119-6480
Practice Address - Country:US
Practice Address - Phone:806-367-7938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9292101YA0400X
TX17327101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional