| Katherine Therrell, Lpc, Pllc | |
|
10 Eagles Roost Ln Fletcher NC 28732-7571 | |
| (828) 651-0111 | |
| (828) 687-0583 |
| Full Name | Katherine Therrell, Lpc, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 10 Eagles Roost Ln, Fletcher, North Carolina |
| Authorized Official Name and Position | Katherine Brown Therrell (COUNSELOR) |
| Authorized Official Contact | 8286870583 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Therrell, Lpc, Pllc 10 Eagles Roost Ln Fletcher NC 28732-7571 Ph: (828) 651-0111 | Katherine Therrell, Lpc, Pllc 10 Eagles Roost Ln Fletcher NC 28732-7571 Ph: (828) 651-0111 |
| NPI Number | 1700186103 |
|---|---|
| Provider Enumeration Date | 11/01/2010 |
| Last Update Date | 11/01/2010 |
| Medicare PECOS PAC ID | 8325499064 |
|---|---|
| Medicare Enrollment ID | O20240108003323 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700186103 | NPI | - | NPPES |
| 6103698 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4544 (North Carolina) | Primary |
| Provider Name | Katherine Brown Therrell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043359953 PECOS PAC ID: 4880045434 Enrollment ID: I20240108004033 |
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