Healthcare Provider Details

I. General information

NPI: 1255991881
Provider Name (Legal Business Name): KATHERINE ASHLEY AROOM LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2019
Last Update Date: 11/06/2023
Certification Date: 11/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 N WEST ST
EASTON MD
21601-2759
US

IV. Provider business mailing address

28247 KNAPPS LOT ST
EASTON MD
21601-7489
US

V. Phone/Fax

Practice location:
  • Phone: 301-789-7027
  • Fax:
Mailing address:
  • Phone: 301-789-7027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: