Provider Demographics
NPI:1205684610
Name:CLEVENGER, CATHERINE ELIZABETH (LPC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ELIZABETH
Last Name:CLEVENGER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:PAUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:807 KINNEAR RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-1490
Mailing Address - Country:US
Mailing Address - Phone:614-687-0068
Mailing Address - Fax:
Practice Address - Street 1:807 KINNEAR RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-1490
Practice Address - Country:US
Practice Address - Phone:614-687-0068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-09
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2405942101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional