Provider Demographics
NPI:1245987676
Name:NOLFF, KATHERINE (CPC, NCC)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:
Last Name:NOLFF
Suffix:
Gender:F
Credentials:CPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1355 MCCANDLESS DR APT 309
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-8158
Mailing Address - Country:US
Mailing Address - Phone:910-398-3191
Mailing Address - Fax:
Practice Address - Street 1:511 6TH AVE # 7259
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8436
Practice Address - Country:US
Practice Address - Phone:512-270-9392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-05
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCI3025101YM0800X
TX90254101YM0800X
NVCP5276101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health