MEDICARE: KATHRYN ROSE PRICE LPC-ASSOCIATE

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	101245	TX

General Provider Information

NPI Number	:	1053243329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN ROSE PRICE LPC-ASSOCIATE

Provider Business Mailing Address
First Line	:	15630 QUORUM DR APT 2532
Second Line	:
City	:	ADDISON
State	:	TX
Zip	:	75001-6643
Country	:	US
Telephone Number	:	945-233-7280
Fax Number	:

Provider Business Practice Location Address
First Line	:	6116 N CENTRAL EXPY STE 210
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-5162
Country	:	US
Telephone Number	:	945-233-7280
Fax Number	:

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

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “ KATHRYN ROSE PRICE LPC-ASSOCIATE” Practice Location

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