Provider Demographics
NPI:1841529641
Name:ESSEK, KATHRYN RUTH (CRC, LMHC)
Entity type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:RUTH
Last Name:ESSEK
Suffix:
Gender:F
Credentials:CRC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 MEAD ST.
Mailing Address - Street 2:
Mailing Address - City:NORTH TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-4435
Mailing Address - Country:US
Mailing Address - Phone:716-694-3214
Mailing Address - Fax:716-694-3218
Practice Address - Street 1:66 MEAD ST
Practice Address - Street 2:
Practice Address - City:NORTH TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14120-4435
Practice Address - Country:US
Practice Address - Phone:716-694-3214
Practice Address - Fax:716-694-3218
Is Sole Proprietor?:No
Enumeration Date:2009-12-08
Last Update Date:2009-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002198101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health