Provider Demographics
NPI:1750046611
Name:MCENTEE, MARY KATHRYN (LPC ASSOCIATE)
Entity type:Individual
Prefix:MRS
First Name:MARY KATHRYN
Middle Name:
Last Name:MCENTEE
Suffix:
Gender:F
Credentials:LPC ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 S DANVILLE DR STE C126
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79605-1480
Mailing Address - Country:US
Mailing Address - Phone:254-702-6292
Mailing Address - Fax:
Practice Address - Street 1:209 S DANVILLE DR STE C126
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79605-1480
Practice Address - Country:US
Practice Address - Phone:325-704-5134
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-05
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87389101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor