Provider Demographics
NPI:1942513247
Name:MCDONALD, CATHARINE B (MS, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:CATHARINE
Middle Name:B
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 HARTFORD TPKE
Mailing Address - Street 2:
Mailing Address - City:TOLLAND
Mailing Address - State:CT
Mailing Address - Zip Code:06084-2842
Mailing Address - Country:US
Mailing Address - Phone:860-837-0204
Mailing Address - Fax:860-294-0240
Practice Address - Street 1:54 HARTFORD TPKE
Practice Address - Street 2:
Practice Address - City:TOLLAND
Practice Address - State:CT
Practice Address - Zip Code:06084-2842
Practice Address - Country:US
Practice Address - Phone:860-837-0204
Practice Address - Fax:860-294-0240
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-15
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1947101YP2500X
CT001947101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty