Provider Demographics
NPI:1922424431
Name:DENNIS, KATHERINE (LPCC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:DENNIS
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3050 RIO DOSA DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-1540
Mailing Address - Country:US
Mailing Address - Phone:859-269-2325
Mailing Address - Fax:859-268-6437
Practice Address - Street 1:212 LEVASSOR PL
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:KY
Practice Address - Zip Code:41014
Practice Address - Country:US
Practice Address - Phone:859-351-0585
Practice Address - Fax:859-268-6437
Is Sole Proprietor?:No
Enumeration Date:2014-03-07
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYLPCPCC00222648101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional