Provider Demographics
NPI:1245674100
Name:RICHARDSON, CATHERINE (LPC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:EVANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1602 SEQUOIA DR.
Mailing Address - Street 2:
Mailing Address - City:KRUM
Mailing Address - State:TX
Mailing Address - Zip Code:76249
Mailing Address - Country:US
Mailing Address - Phone:940-220-9469
Mailing Address - Fax:
Practice Address - Street 1:8300 US HIGHWAY 380
Practice Address - Street 2:SUITE 400
Practice Address - City:CROSS ROADS
Practice Address - State:TX
Practice Address - Zip Code:76227
Practice Address - Country:US
Practice Address - Phone:940-220-9469
Practice Address - Fax:972-426-9609
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-23
Last Update Date:2017-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX70653101YP2500X
TX76053101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional