Provider Demographics
NPI:1730544750
Name:SILER, KATHERINE L (LMFT)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:L
Last Name:SILER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 BUCHANAN ST
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61101-1404
Mailing Address - Country:US
Mailing Address - Phone:779-666-6567
Mailing Address - Fax:779-888-3161
Practice Address - Street 1:1210 BUCHANAN ST
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61101-1404
Practice Address - Country:US
Practice Address - Phone:779-666-6567
Practice Address - Fax:779-888-3161
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-17
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166.001333106H00000X
WI1261-124106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist