Provider Demographics
NPI:1881137636
Name:WESCOTT, KATHLEEN HENRY (LMFT-C)
Entity type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:HENRY
Last Name:WESCOTT
Suffix:
Gender:F
Credentials:LMFT-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 COURT ST
Mailing Address - Street 2:
Mailing Address - City:WINSLOW
Mailing Address - State:ME
Mailing Address - Zip Code:04901-7646
Mailing Address - Country:US
Mailing Address - Phone:207-626-3448
Mailing Address - Fax:207-626-3453
Practice Address - Street 1:10 CALDWELL RD
Practice Address - Street 2:CRISIS AND COUNSELING CENTERS
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-5735
Practice Address - Country:US
Practice Address - Phone:207-626-3448
Practice Address - Fax:207-626-3453
Is Sole Proprietor?:No
Enumeration Date:2016-11-28
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXM4682106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist