MEDICARE: MS. KATHERINE ELIZABETH THARIN LPC

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	5619	SC

General Provider Information

NPI Number	:	1902951510
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHERINE ELIZABETH THARIN LPC

Provider Business Mailing Address
First Line	:	1050 RIBAUT RD
Second Line	:
City	:	BEAUFORT
State	:	SC
Zip	:	29902-5400
Country	:	US
Telephone Number	:	843-524-8899
Fax Number	:

Provider Business Practice Location Address
First Line	:	603 BARNWELL HWY
Second Line	:
City	:	ALLENDALE
State	:	SC
Zip	:	29810-1905
Country	:	US
Telephone Number	:	803-584-4636
Fax Number	:

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

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	01/10/2014

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