Provider Demographics
NPI:1205324613
Name:NAGEL, KATHRYN BARRORD (LPCC)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:BARRORD
Last Name:NAGEL
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 OLD QUARRY LN
Mailing Address - Street 2:
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-1552
Mailing Address - Country:US
Mailing Address - Phone:440-463-9234
Mailing Address - Fax:
Practice Address - Street 1:6785 WALLINGS RD STE 3B
Practice Address - Street 2:
Practice Address - City:NORTH ROYALTON
Practice Address - State:OH
Practice Address - Zip Code:44133-3025
Practice Address - Country:US
Practice Address - Phone:440-230-2564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-01
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE1700221101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor