Provider Demographics
NPI:1023491974
Name:ABERNETHY, CATHERINE C (LPC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:C
Last Name:ABERNETHY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 60957
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78466-0957
Mailing Address - Country:US
Mailing Address - Phone:361-765-5215
Mailing Address - Fax:866-449-4498
Practice Address - Street 1:4444 CORONA DR
Practice Address - Street 2:SUITE 118
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4324
Practice Address - Country:US
Practice Address - Phone:361-765-5215
Practice Address - Fax:866-449-4498
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-09
Last Update Date:2015-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69484101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional