Provider Demographics
NPI:1184459364
Name:LECOUNT, KATIE ANN (APCC)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:ANN
Last Name:LECOUNT
Suffix:
Gender:F
Credentials:APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3985 SIERRA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95688-9524
Mailing Address - Country:US
Mailing Address - Phone:415-250-5299
Mailing Address - Fax:
Practice Address - Street 1:3985 SIERRA VISTA DR
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95688-9524
Practice Address - Country:US
Practice Address - Phone:415-250-5299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAPCC15413101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional