Provider Demographics
NPI:1780409953
Name:PFLEDERER, KATHERINE L (LPC)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:L
Last Name:PFLEDERER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KATHY
Other - Middle Name:
Other - Last Name:PFLEDERER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:1515 W TOUHY AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60626-2623
Mailing Address - Country:US
Mailing Address - Phone:309-573-6405
Mailing Address - Fax:
Practice Address - Street 1:770 N HALSTED ST STE 105
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60642-7886
Practice Address - Country:US
Practice Address - Phone:312-298-9224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.02096101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health