Provider Demographics
NPI:1962626721
Name:LOOMIS, CATHERINE F (LMHC , LADC1)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:F
Last Name:LOOMIS
Suffix:
Gender:F
Credentials:LMHC , LADC1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:474 PUTNAM AVE
Mailing Address - Street 2:2A
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-4776
Mailing Address - Country:US
Mailing Address - Phone:616-354-1424
Mailing Address - Fax:
Practice Address - Street 1:66 CANAL ST
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2002
Practice Address - Country:US
Practice Address - Phone:617-371-3040
Practice Address - Fax:617-371-3038
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA905101YA0400X
MA122101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health