MEDICARE: KATHERINE DRINKWATER LMHC

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	009361	NY

General Provider Information

NPI Number	:	1023534617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE DRINKWATER LMHC

Provider Business Mailing Address
First Line	:	135 PERRY ST APT 8
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10014-2351
Country	:	US
Telephone Number	:	908-698-1544
Fax Number	:

Provider Business Practice Location Address
First Line	:	135 PERRY ST APT 8
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10014-2351
Country	:	US
Telephone Number	:	908-698-1544
Fax Number	:

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

Provider Enumeration Date	:	08/16/2017
Last Update Date	:	10/06/2022

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