Provider Demographics
NPI:1295522233
Name:VARGAS, KATHERINE (LGPC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:VARGAS
Suffix:
Gender:
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 COLONIAL RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-2332
Mailing Address - Country:US
Mailing Address - Phone:571-244-6813
Mailing Address - Fax:
Practice Address - Street 1:431 COLONIAL RIDGE LN
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-2332
Practice Address - Country:US
Practice Address - Phone:571-244-6813
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP16246101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health