MEDICARE: KATHERINE REDMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1174298269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE REDMAN

Provider Business Mailing Address
First Line	:	430 BOYNE AVE UNIT 1
Second Line	:
City	:	BOYNE CITY
State	:	MI
Zip	:	49712-1263
Country	:	US
Telephone Number	:	517-867-2399
Fax Number	:

Provider Business Practice Location Address
First Line	:	430 BOYNE AVE UNIT 1
Second Line	:
City	:	BOYNE CITY
State	:	MI
Zip	:	49712-1263
Country	:	US
Telephone Number	:	517-867-2399
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2021
Last Update Date	:	01/10/2026

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Directions to “ KATHERINE REDMAN ” Practice Location

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