Provider Demographics
NPI:1982129425
Name:HILLEN, KATHERINE J (MA, PLPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:J
Last Name:HILLEN
Suffix:
Gender:F
Credentials:MA, PLPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 NE BALL DR APT A
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-3099
Mailing Address - Country:US
Mailing Address - Phone:913-972-8920
Mailing Address - Fax:
Practice Address - Street 1:529 SE 2ND ST STE D
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-2654
Practice Address - Country:US
Practice Address - Phone:816-581-3737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-06
Last Update Date:2017-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2017027960101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional