MEDICARE: MS. KATRINA JEAN PADDOCK M.A., LPC, CADC-M

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	101YP2500X	Professional Counselor	6401012036	MI
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	6401012036	MI

General Provider Information

NPI Number	:	1336282672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATRINA JEAN PADDOCK M.A., LPC, CADC-M

Provider Business Mailing Address
First Line	:	302 E CASS ST
Second Line	:
City	:	CADILLAC
State	:	MI
Zip	:	49601-2170
Country	:	US
Telephone Number	:	231-884-0028
Fax Number	:	231-824-3641

Provider Business Practice Location Address
First Line	:	201 N MITCHELL ST STE 204
Second Line	:
City	:	CADILLAC
State	:	MI
Zip	:	49601-1859
Country	:	US
Telephone Number	:	231-884-0028
Fax Number	:	888-977-1502

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

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	06/07/2024

Similar Medicare Providers

1477176907 — SARAH FULLER LPC - 6401223002
Practice Location Address:

201 N MITCHELL ST STE 204
CADILLAC, MI
49601-1859

Practice Phone: 231-884-0028
Practice Fax:

1558335836 — JOANIE E BLAMER LMSW
Practice Location Address:

201 N MITCHELL ST STE 204
CADILLAC, MI
49601-1859

Practice Phone: 231-884-0028
Practice Fax: 888-977-1502

1043599574 — MRS. STACEY MARIE HILTZ KAMINSKI LPC
Practice Location Address:

201 N MITCHELL ST
CADILLAC, MI
49601-1859

Practice Phone: 231-884-0028
Practice Fax:

1235540501 — STEHOUWER FREE CLINIC
Practice Location Address:

201 N MITCHELL ST , L-1
CADILLAC, MI
49601-1859

Practice Phone: 231-876-6152
Practice Fax: 231-779-9829

1982084349 — PADDOCK COUNSELING PLLC
Practice Location Address:

201 N MITCHELL ST STE 204
CADILLAC, MI
49601-1859

Practice Phone: 231-884-0028
Practice Fax: 888-977-1502

1124475264 — DYLAN FOSTER COUNSELING
Practice Location Address:

201 N MITCHELL ST , SUITE 204
CADILLAC, MI
49601-1859

Practice Phone: 231-920-8749
Practice Fax:

Directions to “ MS. KATRINA JEAN PADDOCK M.A., LPC, CADC-M” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.