Healthcare Provider Details

I. General information

NPI: 1538335849
Provider Name (Legal Business Name): KATHERINE RAYE HOSIE LMHC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KATE HOSIE LMHC, LPC

II. Dates (important events)

Enumeration Date: 05/06/2008
Last Update Date: 03/31/2022
Certification Date: 03/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E. 8TH ST. STE 110
VANCOUVER WA
98660
US

IV. Provider business mailing address

1683 MOUNTAIN DR
STAYTON OR
97383
US

V. Phone/Fax

Practice location:
  • Phone: 360-909-9722
  • Fax:
Mailing address:
  • Phone: 360-909-9722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC6331
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH60172332
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: