Provider Demographics
NPI:1356886014
Name:GELINAS, KATHRYN (LPC)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:GELINAS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:969 W MAIN ST STE 2G
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06708-1444
Mailing Address - Country:US
Mailing Address - Phone:203-697-8983
Mailing Address - Fax:203-437-8347
Practice Address - Street 1:969 W MAIN ST STE 2G
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06708-1444
Practice Address - Country:US
Practice Address - Phone:203-697-8983
Practice Address - Fax:203-437-8347
Is Sole Proprietor?:No
Enumeration Date:2017-01-04
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3103101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional