Provider Demographics
NPI:1982953360
Name:ABOLD, KATIE LOUISE (LMHC)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:LOUISE
Last Name:ABOLD
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:LOUISE
Other - Last Name:LAUMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHP
Mailing Address - Street 1:1820 NORTH 16TH ST
Mailing Address - Street 2:
Mailing Address - City:CLARINDA
Mailing Address - State:IA
Mailing Address - Zip Code:51632
Mailing Address - Country:US
Mailing Address - Phone:712-542-6128
Mailing Address - Fax:402-562-6770
Practice Address - Street 1:1820 NORTH 16TH ST
Practice Address - Street 2:
Practice Address - City:CLARINDA
Practice Address - State:IA
Practice Address - Zip Code:51632
Practice Address - Country:US
Practice Address - Phone:712-542-6128
Practice Address - Fax:402-562-6770
Is Sole Proprietor?:No
Enumeration Date:2012-08-31
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE9743101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health