Provider Demographics
NPI:1922820190
Name:CZECHOWSKI, KATELYNN HOLLY (LMFTA)
Entity type:Individual
Prefix:
First Name:KATELYNN
Middle Name:HOLLY
Last Name:CZECHOWSKI
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 JENKINS VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDER
Mailing Address - State:NC
Mailing Address - Zip Code:28701-9751
Mailing Address - Country:US
Mailing Address - Phone:828-412-0697
Mailing Address - Fax:
Practice Address - Street 1:44 MERRIMON AVE STE K
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2360
Practice Address - Country:US
Practice Address - Phone:828-412-0697
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-29
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20354A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist