Provider Demographics
NPI:1205698891
Name:OKO, KATHERINE JEAN FITZPATRICK (PLPC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:JEAN FITZPATRICK
Last Name:OKO
Suffix:
Gender:F
Credentials:PLPC
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:JF
Other - Last Name:OKO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:1700 MENARD DR
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62220-3048
Mailing Address - Country:US
Mailing Address - Phone:708-712-2615
Mailing Address - Fax:
Practice Address - Street 1:108 N CLAY AVE STE 100
Practice Address - Street 2:
Practice Address - City:KIRKWOOD
Practice Address - State:MO
Practice Address - Zip Code:63122-4265
Practice Address - Country:US
Practice Address - Phone:847-994-1733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health