Provider Demographics
NPI:1245513845
Name:TALBERT, KATHERINE COREA (MS, LPC, CADC I)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:COREA
Last Name:TALBERT
Suffix:
Gender:F
Credentials:MS, LPC, CADC I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18650 NW CORNELL RD
Mailing Address - Street 2:SUITE 315
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-9207
Mailing Address - Country:US
Mailing Address - Phone:503-352-0468
Mailing Address - Fax:503-352-1024
Practice Address - Street 1:18650 NW CORNELL RD
Practice Address - Street 2:SUITE 315
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-9207
Practice Address - Country:US
Practice Address - Phone:503-352-0468
Practice Address - Fax:503-352-1024
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-21
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORC2689101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health