Provider Demographics
NPI:1730432006
Name:ANDREWS, KATHERINE MARIE (PLMHP, MA)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:MARIE
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:PLMHP, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71727 ROAD 420
Mailing Address - Street 2:
Mailing Address - City:HOLBROOK
Mailing Address - State:NE
Mailing Address - Zip Code:68948-4005
Mailing Address - Country:US
Mailing Address - Phone:308-962-6561
Mailing Address - Fax:
Practice Address - Street 1:203 W E ST # 1093
Practice Address - Street 2:
Practice Address - City:MC COOK
Practice Address - State:NE
Practice Address - Zip Code:69001-3684
Practice Address - Country:US
Practice Address - Phone:308-345-4067
Practice Address - Fax:308-345-6067
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-23
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE9810101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health