Provider Demographics
NPI:1770116204
Name:MONDAY, KATELYN ANN (MA, LCMHC, LCAS)
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:ANN
Last Name:MONDAY
Suffix:
Gender:F
Credentials:MA, LCMHC, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2208 US HIGHWAY 421 N STE 1
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-7692
Mailing Address - Country:US
Mailing Address - Phone:828-902-9882
Mailing Address - Fax:
Practice Address - Street 1:2208 US HIGHWAY 421 N STE 1
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-7692
Practice Address - Country:US
Practice Address - Phone:828-902-9882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-12
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC25857101YA0400X
NCA15304101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)