MEDICARE: DR. KATHERINE ELIZABETH MCVAY PHD, LPC, NCC

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	85213	TX

General Provider Information

NPI Number	:	1669160990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHERINE ELIZABETH MCVAY PHD, LPC, NCC

Provider Business Mailing Address
First Line	:	PO BOX 1391
Second Line	:
City	:	CASTROVILLE
State	:	TX
Zip	:	78009-1391
Country	:	US
Telephone Number	:	830-741-1250
Fax Number	:

Provider Business Practice Location Address
First Line	:	11245 SIR WINSTON ST APT 1009
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-2462
Country	:	US
Telephone Number	:	830-741-1250
Fax Number	:

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

Provider Enumeration Date	:	04/25/2023
Last Update Date	:	04/25/2023

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