Provider Demographics
NPI:1982230603
Name:WUNDER, KATHERINE (LPC, LCAS)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:
Last Name:WUNDER
Suffix:
Gender:F
Credentials:LPC, LCAS
Other - Prefix:MS
Other - First Name:KATHY
Other - Middle Name:
Other - Last Name:WUNDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2 MCDOWELL ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4104
Mailing Address - Country:US
Mailing Address - Phone:828-225-6050
Mailing Address - Fax:828-225-6051
Practice Address - Street 1:2 MCDOWELL ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4104
Practice Address - Country:US
Practice Address - Phone:828-225-6050
Practice Address - Fax:828-225-6051
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-13
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3683101YM0800X
NCLCAS-22118101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health