Provider Demographics
NPI:1881126704
Name:THERRIEN, KATHRYN (LPC, LMHC)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:THERRIEN
Suffix:
Gender:F
Credentials:LPC, LMHC
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:MOYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1717 SWEDE RD STE 212
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-3372
Mailing Address - Country:US
Mailing Address - Phone:267-419-7878
Mailing Address - Fax:
Practice Address - Street 1:1717 SWEDE RD STE 212
Practice Address - Street 2:
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-3372
Practice Address - Country:US
Practice Address - Phone:267-419-7878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-30
Last Update Date:2021-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00577700101YP2500X
NY004902101YM0800X
PAPC009577101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health