Healthcare Provider Details

I. General information

NPI: 1841575370
Provider Name (Legal Business Name): KATHRYN YVETTE CATENACCI MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHRYN YVETTE CATENACCI MS, LCPC

II. Dates (important events)

Enumeration Date: 10/16/2011
Last Update Date: 01/25/2024
Certification Date: 01/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1749 S NAPERVILLE RD SUITE 106
WHEATON IL
60189-5892
US

IV. Provider business mailing address

1749 S NAPERVILLE RD SUITE 106
WHEATON IL
60189-5892
US

V. Phone/Fax

Practice location:
  • Phone: 630-260-8780
  • Fax: 630-938-4697
Mailing address:
  • Phone: 630-260-8780
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180008619
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number180008619
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: